n Obstetrics and Gynaecology Forum - Gynaecologic cancer surgery in 2002 : editorial




Many aspects of the surgical treatment of gynaecologic cancers are currently undergoing reassessment. Some issues that hold most potential to drastically influence future health, future treatment or future reproductive potential of the individual patient will be reviewed here in an effort to provide guidelines and practical strategies for some of the controversial issues, based on an interpretation of the current literature. It has become clear that the preservation of ovarian or even reproductive function is feasible, safe and therefore desirable in some patients with gynaecological cancer. The place for conservative strategies in cervical and ovarian cancer will be discussed. The role of lymphadenectomy and lymph node sampling in gynaecologic surgery is a hotly debated issue. While the indications will undoubtedly change even in the near future, an attempt will be made to provide current indications and to describe the emerging consensus.


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