Main description:

​This handbook will summarize the evidence behind decision making in the management and triage of gynaecological precancer and cancer from benign conditions. It aims to be a practical guide for gynaecologists to help them screen, detect and manage patients with precancer and cancer safely and effectively. The book will provide evidence-based guidance on when to investigate, what are the right tests to use to detect cancer, when to refer to specialist centres, when NOT to operate and delineate the boundaries of safe practice. This book will provide clear guidance to how to triage between benign and malignant conditions and when it is appropriate for general gynaecologists to manage these patients surgically. The book will also address the challenging clinical issues that arise when cancer is detected unexpectedly. 
This book is primarily intended for a global audience – the UK is one of the few countries in the world to have entrenched referral pathways for the management of women with suspected precancer or cancer or benign tumours. In countries where no such referral systems exist, there is a need for clear evidence based guidance on when to refer to a gynaecologist and when a gynaecologist should refer to a more specialist gynaecological oncologist/ specialist centre.
Each chapter will be written in clear, didactic style and will be accompanied by a box of key points, 2 illustrative short case based discussions and a flowchart for each disease type. Contributors will be drawn from an international pool and will have an understanding of gynaecological oncology practice in both western and other health care systems.

Feature:

This will be the first book to provide clear guidance on triage and referral in gynaecological precancer and cancer

Summarizes the evidence-based decision making in the management of gynaecological precancer, cancer and benign conditions

Provides a practical guide for gynaecologists to help them screen, detect and manage patients with precancer and cancer safely and effectively

Contents:

Introduction.- Ovary.- understanding  symptoms and signs of cancer.- Distinguishing benign from malignant masses.- Optimal work-up of an ovarian mass.- Management of early stage ovarian cancer.- Management of advanced stage ovarian cancer.- Referral guidelines for ovarian masses.- Cervix.- understanding  symptoms and signs of cancer.- Understanding cervical precancer.- Management of early stage cervical cancer.- Surgical Management of advanced stage cervical cancer.- Referral guidelines for cervical precancer and cancer.- Uterus.- understanding  symptoms and signs of cancer.- Understanding endometrial hyperplasia.- Differentiating uterine fibroids from sarcoma.- Management of early stage endometrial cancer.- Surgical Management of advanced stage endometrial cancer.- Referral guidelines for endometrial hyperplasia and cancer.- Vulva - understanding  symptoms and signs of cancer.- Understanding benign vulval conditions.- Distinguishing benign vulval conditions from vulval cancer.- Management of early stage vulval cancer.- Surgical Management of advanced stage vulval cancer.- Trophoblastic disease - understanding  symptoms and signs of cancer.- Referral guidelines for trophoblastic disease.- Management of choriocarcinoma.- Boundaries of Laparoscopic surgery in gynaecological oncology.- Fertility dilemnas in gynaecological cancer.- Managing the menopause in women with gynaecological cancer.- Rare gynaecological cancer.- detection and management.