By J. Richard Smith (Editor), Jeremiah Healy (Editor), Giuseppe Del Priore (Editor)
"Atlas of Staging in Gynecological melanoma" is designed for use along with diagnostic approaches among the healthcare professional and the radiologist. It describes the 2 universal staging regimes utilized by all devices internationally, specifically, the FIGO staging method and the TNM process. The ‘landscape’ layout permits every one bankruptcy to open at the left hand part and browse around the double unfold, permitting the reader to work out either staging platforms instantly. every one bankruptcy has a separate part on Epidemiology, prognosis, with radiological plates, administration, in tabular shape, and Key issues.
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Extra info for Atlas of Staging in Gynecological Cancer
Since urinary human chorionic gonadotrophin (hCG) and serum bhCG titres accurately reflect clinical disease, histological verification is not required for diagnosis, although it may aid in therapy. The classic anatomical staging system for GTD1 of the International Federation of Gynecology and Obstetrics (Federation Internationale Gynecologique Obstetrique or FIGO) describes stage I as disease confined to the uterus and stage II as disease that extends outside of the uterus, but is limited to the genital structures (adnexa, vagina and broad ligament).
PSTTs and their non-malignant counterparts are excluded. Histopathology This will normally be available for patients who have had a molar pregnancy and in most cases of non-molar pregnancies. Human chorionic gonadotrophin estimations This provides the key to monitoring the activity of the disease, its response to treatment and follow-up. Ultrasound Ultrasound with Doppler assessment should be routine in managing these patients. 4 Doppler ultrasound can assess the vascularity of the disease. 5 The liver should also be scanned for 25 Staging in Gynaecological Cancer Principal investigations continued Treatment schedules hepatic metastases.
Gestational trophoblastic disease References 1. FIGO Oncology Committee Report. Int J Gynecol Obstet 1992; 39: 149–50. 2. Ngan HY. The FIGO staging for gestational trophoblastic neoplasia 2000, FIGO Committee Report. Int J Gynecol Obstet 2002; 77: 285–7. 3. Kohorn EI, Goldstein DP, Hancock BW et al. Combining the staging system of the International Federation of Gynecology and Obstetrics with the scoring system of the World Health Organization for trophoblastic neoplasia. Report of the Working Committee of the International Society for the Study of Trophoblastic Disease and the International Gynecologic Cancer Society.