Non-Curative Surgery for Gynaecological Malignancy
Worldwide, gynaecological malignancies continue to be the most common group of cancers affecting women. In the underdeveloped world, cervical cancer is more common than breast cancer, with the majority of cases presenting at an advanced stage. In the Western world, breast cancer is the commonest tumour, with cervical cancer the fourth most frequent in the UK . It is a salutary fact that, despite the huge financial support for research into the causes of and treatments for cancer, it would appear that the incidence and the mortality of this disease in the developed world may even be increasing . This may be due to increased longevity which will lead to an increase in the incidence of cancer, but also due to improved diagnosis and data recording. Although clinicians may doubt the accuracy of the cancer registry statistics , which document over 90% of cancer-related deaths, it can be seen that modern treatment is contributing little to an overall reduction in these mortality figures . However, this rather depressing observation does not mean that the enormous progress made over the last 50 years has been in vain. When one considers the present quality of life of these dying women in the palliative setting, it is obvious that both treatment and management have been improved vastly.
KeywordsOvarian Cancer Cervical Cancer Urinary Diversion Vulvar Cancer Musculocutaneous Flap
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- 1.OPCS Cancer Statistics Registration, England and Wales MBI no. 16. HMSO, London.Google Scholar
- 4.Baum M, Breach NM, Shepherd JH, Shearer RJ, Meiron Thomas J, Ball A. Surgical palliation. Sympt Manage 129–140.Google Scholar
- 10.FIGO Annual Report (1991) FIGO, Stockhohn.Google Scholar
- 11.Shepherd JH (1990) Surgical management of ovarian cancer. In Shepherd JH, Monaghan JM (eds) Clinical gynaecological oncology, 2 ed. Blackwell Scientific Publications, Oxford, pp 218–246.Google Scholar
- 18.Beifort MA, Stevens PJ, DeHaek K, Soeters R, Krige JE (1990) A new approach to the management of malignant ascites: a permanently implanted abdominal drain. Eur J Surg Oncol 16:47–53.Google Scholar