Gynecologic, Prostate, and Testicular Cancers



Gynecologic, Prostate, and Testicular Cancers


Chad Michener

Jorge Garcia



POINTS TO REMEMBER:



  • Human papillomavirus testing in addition to the Papanicolaou smear is an acceptable method for cervical cancer screening in women older than 30 years.


  • Primary prevention of cervical cancer through the use of the HPV vaccine would have a far greater impact worldwide than screening alone. Vaccination for females is currently recommended between the ages of 9 and 26.


  • Uterine cancer is the most common gynecologic cancer, causing approximately 6% of all malignancies and accounting for 3% of all cancer deaths in women.


  • Most women with endometrial cancer are diagnosed at an early stage and are often cured by surgery with or without radiation therapy.


  • Type II endometrial cancers consisting of clear cell and papillary serous types are higher risk and are often treated with multiple modalities including surgery, chemotherapy, and radiation.


  • Intraperitoneal chemotherapy with cisplatin and paclitaxel was shown to improve overall survival by 16 months when compared to intravenous administration in women with optimally debulked ovarian cancer.


  • To date, most patients with newly diagnosed prostate cancer present with organ-confined disease as a result of a positive screening test.


  • To date, there is no randomized prospective evidence to suggest that one modality of local definitive treatment for localized prostate cancer is superior to the other one (i.e., surgery versus radiation).


  • Although chemotherapy confers a high cure rate for testicular cancer (more than 80% for good and intermediate-risk patients), patients live long enough to experience late toxicities.

Jul 5, 2016 | Posted by in GASTROENTEROLOGY | Comments Off on Gynecologic, Prostate, and Testicular Cancers

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