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Internal radiation guided by ultrasound or using our MRI-guided HDR brachytherapy, a minimally-invasive method that delivers concentrated doses of radiation, keeping healthy nearby tissue safer.


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Throughout your treatment, your nurses and your radiology care team are there to keep you and your support system informed, comfortable, and uplifted. Surgical procedures for gynecologic cancer can be a promising step forward on your path to healing. Your dedicated team of cancer specialists will review every detail of your medical history and recent tests to recommend the strongest, most effective treatment plan for you. Gynecologic cancer surgery can mean a hysterectomy, which is the removal of the uterus and, usually, the cervix.

Simple hysterectomy is a procedure for early-stage cancers in which the surgeon removes the uterus and cervix, leaving the surrounding organs safely untouched. Radical hysterectomy is a procedure in which the uterus, cervix, top of the vagina, and sometimes ovaries and fallopian tubes are removed for a fuller cancer treatment.

Abdominal hysterectomy is when the surgeon makes an incision across the abdomen to gain access to and remove organs. Vaginal hysterectomy requires no incision, and the surgeon removes the uterus and cervix through the vagina. Laparoscopic hysterectomy is a minimally-invasive procedure to remove organs through small incisions.

Gynecologic oncology : Guidelines, reviews, statements, recommendations, standards

It is quicker, less painful, and leaves smaller scars. Getting back to feeling whole and healthy means making room in your life for plenty of guidance, love, and support from your family, from your friends, and from us. Seven locations — one aligned, powerful, and extensive network. You'll feel even stronger when you're surrounded by a loving support system.

Screenings are quick, convenient, and lifesaving. Know the warning signs and be proactive early on with HPV vaccines, routine Pap tests as recommended by your physician, and annual pelvic exams. These can greatly reduce your risk of gynecologic cancers — and ultimately save your life. Our participation in more than national clinical trials a year gives you access to many of the latest gynecologic cancer treatments and prevention methods, many of which may not be available at other cancer centers for months, or years, to come. It's always a good idea to get a second opinion.

Our second-opinion experts can help you feel more confident in your care, either by confirming your diagnosis, shedding new light, or opening the door to new treatment options. Our gynecologic cancer patients often find comfort and hope where they least expect it: in the company of peers who end up becoming so much more.

New studies.

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New research. New technology and more. Find healing, find community, and stay in the know. More Personalized Care. Better Outcomes. Gynecologic Cancer Diagnosis Could Include:. Cervical Cancer. Endometrial Cancer. Fallopian Tube Cancer. Ovarian Cancer. Primary Peritoneal Cancer. Uterine Cancer. Vaginal Cancer. Vulvar Cancer. The findings indicate that functional social support positively influences the quality of life and reduces, mental trouble, The study illuminated the relationships between social support components influencing the quality of life for gynaecological cancer survivors [20].

Velji et al. The study employed a two-group randomized controlled trial with women with gynaecological cancer with repeated measures design. The patients randomly allocated to either a six-session individualized symptom education program group intervention or a regular care group. An individualized education program with distributed [22], evidence-based rules for symptom manifestation, was given to women at the start of radiation treatment and week by week amid radiation treatment for a sum of six sessions.

Expectedly, both groups experienced decrease of symptoms through the span of radiation treatment. In any case, women in the individualized education training program bunch had less exacerbating in symptom trouble, pain, exhaustion, and sickness toward the end of radiation treatment. The discussion below articulates the importance of enhancing the quality of life for gynaecological cancer patients and discusses some of the interventions that doctors, nurses, other health care providers, peers and the community can adopt to enhance the quality of life for gynaecological cancer patients.

In this section, I discuss results of the literature review with a particular emphasis on how healthcare professionals could apply these interventions in practice. The practice implications are discussed below under six categories: the psychoeducational interventions, nurse-led intervention, peer support interventions, psychosexual strategy, functional social support and individualized education program for symptom management.

In all the nine studies, the participants who received an intervention regardless of the form attained a high quality of life however participants who received an intervention that utilised a multidisciplinary approach achieved a better quality of life. A third of the studies employed the psychoeducation intervention to improve the quality of life of gynaecological patients [13,15,21].

The psychoeducation intervention incorporates; information provision concerning knowledge of the illness, treatment and self-care given to the patients; behavioural therapy such as relaxation breathing exercises and coping skills; and psychological support provided through counselling [13,15]. All the three studies utilized a multidisciplinary approach to manage the psychoeducation interventions. Similarly, Chow, Chan, and Chan [23] found that when the psychoeducation intervention uses an interdisciplinary approach where the nurse is the most active provider, together with a clinical psychologist and a clinician, this results in better health outcomes and improves the quality of life of gynaecological patients.

Also, the psychoeducation interventions need to be incorporated into routine care for gynaecological cancer and target patient concerns and thus improving their quality of life [24,25]. The gynaecological cancer patients subjected to the psychoeducation intervention demonstrated better trends of improvement in emotional well-being as well.

Also, they had improved mood, social support, positive social interaction, reduced depression levels, improved sexual functioning, consequently increasing the patient's quality of life [13,15,21]. Therefore, providing a psychoeducation intervention using a multidisciplinary approach to a diverse population is a very practical strategy that enhances the quality of life of gynaecological cancer patients.

The use of nurse-led interventions can provide a pro-active approach by professionals who are skilled in the provision of holistic care to improve patients' quality of life [1]. Schofield and Colleagues [16] used a multidisciplinary approach to healthcare delivery that involved the input from a nurse consultant and peer supporters' intervention to reduce psychological distress in women receiving radiotherapy with curative intent for gynaecological cancer.

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The adequacy of an imaginative, customized nurse and peer support groups for women with gynaecological cancer was patient centred, promoted adherence to self-care, provided coordinated care including timely referrals and increased access to supportive care for women living in a remote setting via the telephone [16]. Engaging peer supporters in the treatment plan reduced nurses' time spent on healthcare encouraged the adherence to professionally delivered information and supported patients on post-treatment completion who were geographically or medically isolated [16,18].

This approach was effective in reducing physical, psychosexual, and supportive care needs of women with gynaecological cancer and increased greater use of health care services and thus improving their quality of life [26].


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  7. McCorkle and Colleagues [14] supported the use of the nursing intervention approach to enhance the quality of life for gynaecological patients. According to Sekse et al. The nursing intervention involved combined services of an oncology advanced practice nurse and a psychiatric consultation-liaison nurse who met with the patient to discuss the plan of care. The primary objective of this nursing intervention was to assist patients in developing and maintaining self-management skills postoperatively and to facilitate their active participation in decisions affecting their subsequent treatment, which included chemotherapy [14].

    This specialized intervention of using nursing involvement and a psychological evaluation helped in reducing the physical and psychological burdens associated with gynaecological cancer and enhanced patient quality of life. According to Pistrang et al. The one to one peer support typically involves an old patient or survivor providing emotional or informational support to someone at an earlier stage of treatment or recovery [28].

    Overview of Gynecologic Cancers

    This intervention builds on experiential knowledge and mutual sharing of people who have experienced similar stressors or health condition, however, the support is unidirectional with one person in a designated helping role. Telephone support has the advantage of overcoming the practical problem of meeting face to face, particularly for patients who live in rustic ranges or who are exhausted by the side-effects of treatment [30]. This type of intervention can be beneficial to both the peer supporter and the recipients.

    This approach also helps patients cope with diagnosis and treatment, improves satisfaction with medical care, and increases knowledge about the disease. Also, it develops coping strategies, provides a sense of hope, improves personal relationships, expands social support, fosters a sense of belonging and improves mood [29,31]. Patients who have undergone one to one peer support report decreased isolation, increased hope and making sense of one's experience [18].

    The one to one peer support intervention is also beneficial for women who have completed their treatment and were in the transition from "patient" to "survivor". Also, it helps them in processing emotions, making meaning and returning to normal life thus facilitating adaptation [18,32]. According to literature the one to one peer support programs with well-trained peer supporters can provide useful emotion, social and information support to patients and their families throughout diagnosis, treatment and survivorship [].

    Furthermore, this approach can enhance a feeling of self-esteem and well-being to the peer supporter, and a more profound therapeutic benefit is from their cancer experience and a sense of closure by coming to terms with emotionally painful issues [33,36]. However, one of the potential risks in cancer peer support is that the emotional distress of the recipients which amplify the supporters own anxieties and vulnerabilities [18].

    According to Lim and Zebrack [20], functional social support is crucial in enhancing the quality of life of gynaecological cancer patients. Support from key sources such as the spouse, family and friends have shown to be of paramount importance [20]. Also, research studies have reported that women with gynaecological cancer who participate in support group report successful adaptation to the disease and its treatment [37].

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    Gynaecological cancer information for patients

    Influencing functional social support by the available social network depends on the extent to which survivors use supportive services, their perception of such services and the availability of social support [20]. Having diverse support networks may provide survivors with more sources of material aid, more security in areas of economic concern and positive, supportive care services and turn improving the quality of life [38]. Having functional social support in the form of support groups provides a unique sense of community, and unconditional acceptance.