Gynaecological cancers

Author(s):  
Sarah Knapp ◽  
Lisa Henderson ◽  
Timothy Duncan ◽  
Thomas Gray

Gynaecological cancers are malignancies involving the female genital tract, of which there are five types: ovarian, uterine, cervical, vaginal and vulval cancer. Every year in the UK, more than 21 000 women are diagnosed with a gynaecological cancer and there are 8000 deaths. The NHS is aiming for earlier diagnosis, and campaigns from various UK cancer groups are hoping to increase awareness among women. This article will discuss the epidemiology, risk factors and clinical features of gynaecological cancers and provide a summary of investigation and management in primary and secondary care.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e22518-e22518
Author(s):  
Inci Yaman Bajin ◽  
Tezer Kutluk ◽  
Ferah Yildiz ◽  
İbrahim Karnak ◽  
Berna Oğuz ◽  
...  

e22518 Background: Rhabdomyosarcoma is a rare tumor in children and adolescents, presenting 3% to 4% of all pediatric cancers. The female genital tract is considered as a favorable site of childhood RMS. The outcome has improved significantly during the last two decades, attributed to risk stratification and multimodality management of these challenging tumors. Here we present the clinical features and treatment results of girls with genital tract rhabdomyosarcoma to discuss. Methods: Fourteen girls with vaginal and uterine servical rhabdomyosarcoma younger than 18 years of age diagnosed and followed up between the years of 1995 and 2019 were included in this analysis. The clinical features and treatment results of patients were recorded from patient files and hospital information system retrospectively. Results: There were seven cases with vaginal and seven with uterin cervical carcinoma. All patients presented with polypoid masses protruding from the vagina. Median age of patients at diagnosis was 71 months (range 8-200 months). The IRS modified TNM staging was stage I for all the patients. All cases had embryonic type of RMS except one with alveolar type. All patients were treated with surgery and adjuvant chemotherapy, three received radiotherapy additionally. All achieved complete remission. Four patients experienced tumor relapse, 1 patient died with progressive disease. The median follow-up time was 75 months (7-271 months) for 13 patients who were alive with remission. Conclusions: Rhabdomyosarcoma is a rare sarcoma with a higher incidence in children and adolescents. With current treatment strategies, female genital tract rhabdomyosarcomas have a good prognosis. Favorable prognostic factors such as early stage at diagnosis and a favorable histology may contribute to the excellent observed survival. All parties who had involved on the care of these girls must be aware of the high survival with proper treatment to avoid treatment related morbidities and mortalities. Because of the rareness of the disease we wanted to share our experience.


2018 ◽  
Vol 21 (1A) ◽  
Author(s):  
Grażyna Jarząbek-Bielecka ◽  
Mariola Pawlaczyk ◽  
Michał Pawlaczyk ◽  
Magdalena Pawlaczyk ◽  
Magdalena Pisarska-Krawczyk ◽  
...  

Introduction. Not all girls and women are aware of the role of proper diet and hygiene in the prevention of the inflammation of the female genital tract. Aim. An assessment of the knowledge of female patients at developmental age on the prevention and treatment of inflammation of the female genital tract was undertaken. Material and methods. The study involved 100 female patients of the Department of Gynecology of the Developmental Age and Sexology, all of them aged 17, who reported for routine examinations; the patients were students of high schools in Poznań who were not sexually active. A thorough medical history, concerning the patients’ knowledge on the prevention and treatment of inflammation of the female genital tract, was collected. Results. It is comforting that as many as 97% of girls knew the preventive factors of genital inflammation important related to the personal hygiene. However, as many as 81% were not familiar with the preventive factors of genital inflammation related to diet – only 16% correctly indicated the negative impact of carbohydrates. There were significant deficiencies in knowledge areas related to the risk factors for infections of the female genital tract: as many as 52% of patients were not aware that the most important risk factors included sexual intercourses, specifically early sexual initiation and frequent partner change. More than 70% of respondents could not did not know any methods of treating the infections other than preparations advertised in mass media. Conclusions. Education increases motivation for prophylaxis of inflammation and infection of the female genital tract. It has been shown that in girls, the level of knowledge regarding the prevention and treatment of inflammation is insufficient, and health and sex education is the basic way of increasing awareness of the possibility of improving gynecological health of girls and women.


2006 ◽  
Vol 38 (8) ◽  
pp. 567-572 ◽  
Author(s):  
D Zantomio ◽  
A P Grigg ◽  
L MacGregor ◽  
Y Panek-Hudson ◽  
J Szer ◽  
...  

2017 ◽  
Vol 10 (2) ◽  
pp. 732-736 ◽  
Author(s):  
Georgios-Marios Makris ◽  
Georgia Manousopoulou ◽  
Marco-Johannes Battista ◽  
Ioannis Salloum ◽  
Georgios Chrelias ◽  
...  

Synchronous ovarian and endometrial cancer (SEOC) is a rare instance but it accounts for 50–70% of all synchronous female genital tract tumors. We report three cases of women who were diagnosed with SEOC and underwent surgical staging. All cases were of the endometrioid subtype, grade 1, both in the ovarian and endometrial component. Two of them were stage Ia/Ia, and the third was stage Ib/Ib. More than 2 years after the diagnosis, all patients were alive and recurrence-free. The present report critically discusses the main characteristics, risk factors, and management of patients with SEOCs.


2013 ◽  
Vol 84 (9) ◽  
Author(s):  
Janusz Menkiszak ◽  
Anita Chudecka-Głaz ◽  
Jacek Gronwald ◽  
Ryszard Bedner ◽  
Aneta Cymbaluk-Płoska ◽  
...  

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