Treatments for Genital system cancer
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Hospital statistics for Genital system cancer:
These medical statistics relate to hospitals, hospitalization and Genital system cancer:
- 0.44% (56,351) of hospital episodes were for malignant neoplasms of female genital organs in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 95% of hospital consultations for malignant neoplasms of female genital organs required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 100% of hospital episodes for malignant neoplasms of female genital organs were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 13% of hospital admissions for malignant neoplasms of female genital organs required emergency hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
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Treatments of Genital system cancer: Online Medical Books
16 MEDICAL BOOKS ONLINE!
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Uterine cancer:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment varies, depending on the extent of the disease:
❑Surgery — Rarely curative, surgery generally involves total abdominal hysterectomy, bilateral salpingo-oophorectomy, or possibly omentectomy with or without pelvic or para-aortic lymphadenectomy. Total exenteration involves removal of all pelvic organs, including the vagina, and is done only when the disease is sufficiently contained to allow surgical removal of diseased parts. (See Managing pelvic exenteration, page 114.)
❑Radiation therapy — When the tumor isn't well differentiated, intracavitary or external radiation (or both), given 6 weeks before surgery, may inhibit recurrence and lengthen survival time.
❑ Hormonal therapy — Synthetic progesterones, such as medroxyprogesterone or megestrol, may be administered for systemic disease. Tamoxifen (which produces a 20% to 40% response rate) may be given as a second-line treatment.
❑ Chemotherapy — Varying combinations of cisplatin, doxorubicin, carboplatin, topotecan, paclitaxel, and gemcitabine are usually tried when other treatments have failed.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Malignant spinal neoplasms:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment of spinal cord tumors generally includes decompression or radiation. Laminectomy is indicated for primary tumors that produce spinal cord or cauda equina compression; it isn't usually indicated for metastatic tumors. If the tumor is slowly progressive or if it's treated before the cord degenerates from compression, symptoms are likely to disappear, and complete restoration of function is possible. In a patient with metastatic carcinoma or lymphoma who suddenly experiences complete transverse myelitis with spinal shock, functional improvement is unlikely, even with treatment, and his outlook is ominous. If the patient has incomplete paraplegia of rapid onset, emergency surgical decompression may save cord function. Steroid therapy with dexamethasone minimizes cord edema and temporarily relieves symptoms until surgery can be performed. Partial removal of intramedullary gliomas, followed by radiation, may alleviate symptoms for a short time. Metastatic extradural tumors can be controlled with radiation, analgesics and, in the case of hormone-mediated tumors (breast and prostate), appropriate hormone therapy. Transcutaneous electrical nerve stimulation (TENS) may control radicular pain from spinal cord tumors and is a useful alternative to opioid analgesics. In TENS, an electrical charge is applied to the skin to stimulate large-diameter nerve fibers and thereby inhibit transmission of pain impulses through small-diameter nerve fibers. Chemotherapy generally hasn't proven effective against most spinal tumors, but may be recommended in some cases.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Uterine cancer:
Treatment
(Handbook of Diseases)
Uterine cancer treatment varies, depending on the extent of the disease. Generally, treatment involves surgery and radiation therapy, depending on the stage and depth of the myometrial invasion.
Surgery
Surgery generally involves total adominal hysterectomy, bilateral salpingo-oophorectomy or, possibly, omentectomy with or without pelvic or para-aortic lymphadenectomy.
Radiation therapy
When the tumor isn’t well differentiated, intracavitary or external radiation (or both), given 6 weeks before surgery, may inhibit recurrence and lengthen survival time.
Hormonal therapy
Synthetic progesterones — such as hydroxyprogesterone or megestrol — may be administered for systemic disease. Tamoxifen, which produces a 20% to 40% response rate, may be given as a second-line treatment.
Chemotherapy
Chemotherapy is not very successful in advanced endometrial carcinoma. Varying combinations of cisplatin, doxorubicin, carboplatin, or paclitaxel, as well as others, are usually tried when other treatments have failed.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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