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Cervix Cancer (Hardcover, 1987 ed.)
Loot Price: R4,306
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Cervix Cancer (Hardcover, 1987 ed.)
Series: Cancer Treatment and Research, 31
Expected to ship within 12 - 17 working days
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Cytological screening for the identification of intraepithelial
neoplasia of the cervix as a precursor lesion for cervical cancer
has been well established as an effective means for decreasing the
incidence of invasive carcinoma. Despite these screening efforts,
carcinoma of the cervix remains one of the more common malignancies
in women and it is the leading cause of cancer death in many
countries in the western hemisphere. It is estimated that in 1986
there will still be 14,000 new cases of invasive cancer, with 6,800
deaths in the United States alone. Unfortunately, many of these
patients present with advanced disease, posing difficult management
problems for the clinician responsible for their care. The
treatment of early stage invasive carcinoma of the cervix (lesions
confined to the cervix and vagina) remains either radical surgery,
radical radiation therapy or a combination thereof This approach is
extraordinarily effective in the vast majority of patients.
However, there remains a subset of patients with early stage
disease that are at high risk for recurrence. Dr Kjorstad (Chapter
2) has identified adenocarcinomas and adenosqua mous carcinomas as
having a particularly poor prognosis. In addition, patients with
more than three positive lymph nodes or with involvement of lymph
nodes outside of the pelvis have a very poor prognosis. He has iden
tified the CEA as a potentially predictive marker for these
patients with poor prognosis, especially in patients with
adenocarcinomas."
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