Handbook of Gynecologic Oncology is the result of a collaborationbetween the faculties of M. The editors and the 29 additionalauthors, many of whom are recognized experts in their field, are exclusivelyaffiliated with these two large cancer centers, and in this text, they pass onpearls of wisdom concerning gynecologic cancer care gleaned over the past 40years in addition to information from the current literature. The organizational scheme of the book closely follows the standard curriculumfor the gynecologic oncology fellowship.
The first chapter presents an overviewof statistics in understandable terms using specific examples from the field ofgynecologic oncology.
The concepts and facts relevant to the interpretation ofclinical literature and manuscript preparation are the focus of the chapter,making it a good quick reference for young physicians early in their academiccareer. Subsequent chapters present additional gynecologic oncology-related topics,including pharmacology, critical care, perioperative care, nutrition, supportivecare, and minor surgical procedures.
These chapters remain true to the aim ofthe text, providing the information needed by busy clinical fellows. The pharmacology section comprehensively and effectively outlines themanagement of multiple common clinical problems such as pain management, bonemarrow suppression, neutropenic fever, chemotherapy-induced nausea, and fluidand electrolyte management.
Utilizing multiple easy-to-read tables, the dosingand potential side effects of the various medications used to treat thegynecologic oncology patient are clearly outlined. The illustrations in the chapter on procedures are clear and simple, pointingout important anatomic landmarks. The chapter on nutrition provides a good overview of broad issues but wouldhave been more helpful to the trainee if a step-by-step algorithm forcalculating and ordering total parenteral nutrition TPN solutions had beenincluded.
The critical care chapter is especially succinct and complete. Withtables defining and explaining ventilator modes, types of shock, and otherimportant concepts, this chapter could serve both as a quick clinical referenceand concise study guide for the boards. The remaining chapters present the principles of radiation therapy andchemotherapy followed by chapters individually dedicated to gynecologic cancerdisease sites, including preinvasive disease as well as breast and colon cancer.
As with all multiauthor texts, there is some variability in the quality and comprehensiveness of the chapters. A few are not written by recognized experts in the specific topics covered, but they generally succeed in providing useful overviews. Many chapters contain references only up to , although a few have references from The field is moving toward combination therapies, and this is dealt with only very briefly in most chapters.
Likewise, a greater emphasis on certain topics such as complications of chemotherapies, novel chemotherapeutic agents being considered for clinical trials, and strategies of overcoming drug efflux pumps to improve penetration into tumors would have been useful. That said, the limitations are relatively minor and do not detract from the overall excellence of the book. The editor and authors are to be congratulated on providing a timely and valuable reference on chemotherapy for brain tumors.
This is a book that will be very useful for all neuro-oncologists and general oncologists treating patients with brain tumors.
About Advertise CureToday. Alternative therapy is prescribed instead of conventional medicine, while complementary therapy is used to supplement conventional treatment. The alternative therapies tend to be unproved and can sometimes be dangerous. The book is divided into seven sections: spiritual healing approaches, dietary and herbal remedies, mind-body medicine, alternative biological treatment, bodywork therapies, sensory treatment, and the use of external energy forces.
Each chapter within each section addresses a different therapy, providing a historical overview and some scientific background on that therapy and attempting to place it within the spectrum of potential medical management of cancer.
As some therapies are not easily categorized, however, there is some overlap of material within the book. Furthermore, this is not the book to use if one is searching for data on clinical trials of treatments; rather, it provides capsule summaries of known information. The author avoids making judgments about the various therapies, but rather, offers objective commentaries on what is known. Such an approach is useful when one wants to photocopy a chapter for an inquisitive patient.
The photocopied chapter can then provide a jumping-off point for a discussion between physician and patient. In addition, the book offers several very useful resources, including a list of vitamins and minerals, their functions, recommended doses, signs of deficiency and overdose, and the need for supplementation. Licensure and professional organizations are listed at the end of each chapter, so that further information on treatment or qualified practitioners can be obtained.
Specific chapters deserve further mention.
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