Titlebook: Controversies in the Management of Gynecological Cancers; Jonathan A. Ledermann,Carien L. Creutzberg,Michael Book 2014 Springer-Verlag Lon

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,Sentinel Node Biopsy—Does It Help in the Management of Vulvar Cancer?,fication is the introduction of the sentinel node procedure for patients with early stage vulvar cancer. The introduction of the sentinel node procedure brought about a major decrease in treatment-related morbidity. However, some controversies remain and these will be discussed in this chapter.

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Lymphadenectomy in Endometrial Cancer: The Controversy Rages Unabated, benefit. In this chapter, both sides of the debate are presented alongside a mutually agreeable trial design that has the potential to provide conclusive evidence, once and for all, for how early-stage endometrial cancer should be managed.

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What Is the Role of Adjuvant Radiotherapy and Chemotherapy in Endometrial Cancer?,ghlighted. Risk-based treatment selection is emphasized, with the aim of sparing many patients with low-risk endometrial cancer unnecessary toxicities of adjuvant treatment. Ongoing and future research is mainly directed at investigating the role of adjuvant chemotherapy in patients with high-risk disease to improve outcomes.

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What Is the Value of Lymphadenectomy in Early Ovarian Cancer?,urvival benefit for lymphadenectomy is scarce, there has been no uniform agreement on the extent of lymphadenectomy, and long-term follow-up of patients who have undergone systematic lymphadenectomy in this context is lacking including quality of life studies.

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https://doi.org/10.1007/978-94-009-3081-0en following the surgery or as neoadjuvant treatment prior to surgery. This review will tease out the pros and cons of either management strategy based on the current evidence available and make recommendations for future research in the area.