By Juriy W. Wladimiroff FRCOG, Sturla H Eik-Nes

Ecu perform in Gynaecology and Obstetrics is a sequence of books conceived and recommended through the ecu Board and faculty of Obstetrics and Gynaecology (EBCOG). the themes selected for every quantity are these of important medical curiosity the place therapy is altering based on study findings and advancements in perform. the quantity editor and contributing authors are eu experts invited to give a contribution due to their services of their box. The books pay attention to numerous varieties of administration utilized in ecu perform in addition to released effects. The authors current remedies for which a consensus exists and - while there isn't any consensus - they speak about the foremost parts of the talk. every one booklet offers a evaluation of the fundamental technology, contemporary ideas in pathophysiology, medical features, remedy and unresolved difficulties or controversies, in addition to the main contemporary references. a last part presents multiple-choice questions for every bankruptcy.

  • Series concentrates on vital and altering components of medical practice
  • Each quantity editor is a number one eu professional within the field
  • Contributors are drawn from quite a lot of ecu international locations
  • All volumes contain a evaluation of simple technological know-how and pathophysiology, in addition to scientific points, therapy, unresolved problems
  • Current references are incorporated for every chapter
  • Multiple selection questions are supplied on the finish of every chapter
  • This quantity comes with a CD containing all of the color pictures within the booklet plus 106 additional images

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Extra info for Ultrasound in Obstetrics and Gynaecology Book: European Practice in Gynaecology and Obstetrics Series

Example text

Androgenic progestins in oral contraceptives and the risk of epithelial ovarian cancer. Obstet Gynecol. 2005;105:731-740. S c r e e n i n g a n d p r e v e n t i o n o f o va r i a n c a n c e r • 19 4 Berek JS, Chalas E, Edelson M, et al. Prophylactic and risk-reducing bilateral ­salpingo‑oophorectomy: recommendations based on risk of ovarian cancer. Obstet Gynecol. 2010;116:733-743. 5 Kurman RJ, Shih Ie-Ming. The origin and pathogenesis of epithelial ovarian cancer: a proposed unifying theory.

ROMA (CA-125 plus HE4) was FDA approved in 2011, and like OVA1, it should be used for the preoperative triage of a woman with a pelvic mass and not for ovarian cancer screening. There have been no head-to-head comparisons between the two tests and therefore it is not known which is superior. Presentation and evaluation of advanced disease The most common presenting symptoms of ovarian cancer in decreasing order of frequency are abdominal swelling, abdominal pain, dyspepsia, urinary frequency, and weight change.

A multidisciplinary collaboration is incumbent throughout preoperative medical optimization with the gynecologic oncologist working directly with the patient’s primary care physician and other subspecialist physicians as needed (eg, cardiologist). Personalized review of all films with the radiologist is mandatory. The presence of 28 • T h e 21 st C ent u ry H andbook of Clinical O varian C ancer multiple parenchymal liver metastases, extensive suprarenal adenopathy, porta hepatis disease, bony metastases, pulmonary masses, and any other extra-abdominal metastases are relative contraindications to primary cytoreduction (discussed in Chapter 4).

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