eMedicine Specialties > Obstetrics and Gynecology > Gynecologic Oncology

Palliative Care of the Patient With Advanced Gynecologic Cancer: Multimedia

Author: Jennifer M Rubatt, MD, Clinical Assistant, Department of Obstetrics and Gynecology, Research Technician, Department of Obstetrics and Gynecology, Division of Gynecology Oncology, Duke University Medical Center
Coauthor(s): Cecelia Boardman, MD, Assistant Professor, Department of Obstetrics and Gynecology, Medical College of Virginia; Eileen M Segreti, MD, Adjunct Associate Professor, Department of Obstetrics and Gynecology, Section of Gynecologic Oncology, West Penn Allegheny Health System; Brian D Kavanagh, MD, MPH, Vice-Chair, Associate Professor, Department of Radiation Oncology, University of Colorado Health Sciences Center; John Wheelock, MD, Consulting Staff, Gynecologic Oncology Association of Nashville
Contributor Information and Disclosures

Updated: Dec 3, 2007

Multimedia

Exposure of the uterus and left adnexal mass duri...Media file 1: Exposure of the uterus and left adnexal mass during exploratory laparotomy.
Exposure of the uterus and left adnexal mass duri...

Exposure of the uterus and left adnexal mass during exploratory laparotomy.

Partially necrotic para-aortic lymph node mass in...Media file 2: Partially necrotic para-aortic lymph node mass intimately associated with regional vessels and fixed to underlying bony tissue.
Partially necrotic para-aortic lymph node mass in...

Partially necrotic para-aortic lymph node mass intimately associated with regional vessels and fixed to underlying bony tissue.

A groin recurrence from vulvar cancer 6 years aft...Media file 3: A groin recurrence from vulvar cancer 6 years after primary treatment. The recurrence was initially treated with excision and radiation therapy, but the cancer ultimately returned in the groin.
A groin recurrence from vulvar cancer 6 years aft...

A groin recurrence from vulvar cancer 6 years after primary treatment. The recurrence was initially treated with excision and radiation therapy, but the cancer ultimately returned in the groin.

More on Palliative Care of the Patient With Advanced Gynecologic Cancer

References

References

  1. Konski A, Feigenberg S, Chow E. Palliative radiation therapy. Semin Oncol. Apr 2005;32(2):156-64. [Medline].

  2. Gordinier ME, Dizon DS, Weitzen S, Disilvestro PA, Moore RG, Granai CO. Oral thalidomide as palliative chemotherapy in women with advanced ovarian cancer. J Palliat Med. Feb 2007;10(1):61-6. [Medline].

  3. de Parades V, Etienney I, Bauer P, Bourguignon J, Meary N, Mory B. Formalin application in the treatment of chronic radiation-induced hemorrhagic proctitis--an effective but not risk-free procedure: a prospective study of 33 patients. Dis Colon Rectum. Aug 2005;48(8):1535-41. [Medline].

  4. Howie SB, Amigo PH, O''Kelly K, Fainsinger RL. Palliation of malignant bowel obstruction using a percutaneous cecostomy. J Pain Symptom Manage. Mar 2004;27(3):282-5. [Medline].

  5. Lickiss JN. Palliative care: the care of the patient with far advanced gynecologic cancer. Gynecologic Oncology. 1992;2:1507-1519.

  6. Regnard CFB, Comiskey MC. Advanced cancer: The hospice approach. In: Shingleton HM, ed. Gynecologic Oncology: Current Diagnosis and Treatment. Philadelphia, Pa: WB Saunders and Co; 1996:397-415.

  7. Segreti EM, Levenback C. Bowel surgery. In: An Atlas of Gynecologic Oncology. St. Louis, Mo: Mosby-Year Book; 2001:159-170.

  8. Segreti EM, Levenback C, Morris M, et al. A comparison of end and loop colostomy for fecal diversion in gynecologic patients with colonic fistulas. Gynecol Oncol. Jan 1996;60(1):49-53. [Medline].

  9. Von Roenn JH, Paice JA. Control of common, non-pain cancer symptoms. Semin Oncol. Apr 2005;32(2):200-10. [Medline].

Further Reading

Keywords

palliative care of the patient with advanced gynecologic cancer, pain control, terminal care, refractory gynecologic cancers, end-stage gynecologic cancer care, symptom control, cancer of the female genital tract, cervical cancer, ovarian cancer, narcotic analgesics, narcotic therapy, nonsteroidal anti-inflammatory drugs, NSAIDs, transdermal electrical nerve stimulation, TENS, massage therapy, meditation, biofeedback techniques, anxiolytics, antidepressants, supportive counseling, spiritual counseling, family support, depression, anxiety

Contributor Information and Disclosures

Author

Jennifer M Rubatt, MD, Clinical Assistant, Department of Obstetrics and Gynecology, Research Technician, Department of Obstetrics and Gynecology, Division of Gynecology Oncology, Duke University Medical Center
Jennifer M Rubatt, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists
Disclosure: Nothing to disclose.

Coauthor(s)

Cecelia Boardman, MD, Assistant Professor, Department of Obstetrics and Gynecology, Medical College of Virginia
Cecelia Boardman, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American College of Surgeons, Minnesota Medical Association, and Society of Gynecologist Oncologists
Disclosure: Nothing to disclose.

Eileen M Segreti, MD, Adjunct Associate Professor, Department of Obstetrics and Gynecology, Section of Gynecologic Oncology, West Penn Allegheny Health System
Eileen M Segreti, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American College of Surgeons, Medical Society of Virginia, and Society for Gynecologic Investigation
Disclosure: Nothing to disclose.

Brian D Kavanagh, MD, MPH, Vice-Chair, Associate Professor, Department of Radiation Oncology, University of Colorado Health Sciences Center
Brian D Kavanagh, MD, MPH is a member of the following medical societies: American Society for Therapeutic Radiology and Oncology, American Society of Clinical Oncology, Medical Society of Virginia, and Radiation Research Society
Disclosure: Nothing to disclose.

John Wheelock, MD, Consulting Staff, Gynecologic Oncology Association of Nashville
John Wheelock, MD is a member of the following medical societies: American College of Surgeons
Disclosure: Nothing to disclose.

Medical Editor

John J Kavanagh Jr, MD, Chief, Professor, Department of Internal Medicine, Section of Gynecological and Medical Therapeutics, MD Anderson Cancer Center, University of Texas College of Medicine
John J Kavanagh Jr is a member of the following medical societies: American Association for Cancer Research, American Association for the Advancement of Science, American Association for the History of Medicine, American College of Physicians, American Federation for Medical Research, American Medical Association, American Society of Clinical Oncology, Society of Gynecologist Oncologists, Southern Medical Association, and Texas Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

CME Editor

Frederick B Gaupp, MD, Consulting Staff, Department of Family Practice, Assumption Community Hospital
Frederick B Gaupp, MD is a member of the following medical societies: American Academy of Family Physicians
Disclosure: Nothing to disclose.

Chief Editor

Michel E Rivlin, MD, Associate Professor, Coordinator, Quality Assurance/Quality Improvement, Department of Obstetrics and Gynecology, University of Mississippi School of Medicine
Michel E Rivlin, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Medical Association, Mississippi State Medical Association, and Royal College of Surgeons of Edinburgh
Disclosure: Nothing to disclose.

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