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The risk of cancer increases with age and the number of older adults seeking treatment is rising dramatically in line with the aging population. The care of older patients differs from that of younger adults because of variation in the biology of the tumor, age-related variation in host physiology, co-morbidity burden and psychosocial issues, which might impact the efficacy and side effects of cancer therapy.
Management of Gynecological Cancers in Older Women focuses on treatment strategies of gynecological cancers and provides guidance on the issues specific to older patients, spanning background and epidemiology, special considerations in the care of older women, therapeutics, and psychosocial considerations. This book offers a thorough review of current approaches to treating older gynecological cancer patients, detailing the special issues and considerations involved. The discipline-spanning coverage outlines best practice and proposes topics for future research.
The second volume in the Management of Cancer in Older People series, this book will be of interest to all surgical oncologists, medical oncologists, gerontologists, gynecologists and other members of the multidisciplinary team involved in the care of elderly gynecological cancer patients.
Sommario
1. Background and Epidemiology.- 2. Pathology of Gynecologic Cancer.- 3. Geriatric Issues in Ovarian Cancer.- 4. Geriatric Assessment for the Oncologist.- 5. Pharmacology of Chemotherapy.- 6. Pre-operative risk assessment.- 7. Genetics and Gynecological Cancer.- 8. Radiotherapy.- 9. Ovarian Cancer: Symptoms and Presentation.- 10. Ovarian Cancer - Surgical Considerations.- 11. Ovarian Cancer: Primary Chemotherapy.- 12. Relapse - Surgical Considerations and Secondary Cytoreduction.- 13. Ovarian Cancer Relapse - Experimental Therapies.- 14. Management of Recurrent Ovarian Cancer in Older Women.- 15. Treatment of Endometrial Cancer in the Geriatric Patient.- 16.Treatment of Advanced Stage and Recurrent Endometrial Cancer in Elderly Women.- 17. Cervical Cancer in the Elderly: Staging and Surgical Management.- 18. Cervical Cancer - Advanced Stage & Relapse Treatment - Standard and Experimental Therapy.- 19. Vulval and Vaginal Cancer.- 20. Uterine Sarcomas in the Elderly.- 21. Sexual Medicine in the Management of Older Gynecologic Cancer Patients.- 22. End-of-life care for elderly patients with gynecologic cancer.- 23. Palliative Surgery.
Riassunto
This book aims to provide an up-to-date review of the literature in each of the major areas relating to the management of older gynecological cancer patients, and makes recommendations for best practice and future research. The authors come from a broad geographic spread including the UK, mainland Europe and North America to ensure a worldwide relevance.
