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IAHPC BOOK REVIEW

PALLIATIVE CARE CONSULTATIONS IN GYNAECOLOGY

Sara Booth and Eduardo Bruera (Eds)

Palliative Care Consultations in Gynaeoncology (Palliative Care Consultations)

Oxford University Press, 2004
176 pp
ISBN 019-852806-X
RRP £29.95 $US45
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This is the second volume in the Palliative Care Consultations series and I found it particularly informative and useful. As a medical oncologist, I saw less and less gynaecological malignancy as the specialty of gynaecological oncology grew. But now, as a palliative care physician, I am seeing more and more women with advanced and terminal disease, which makes this book very welcome.

The book starts with overviews of the management of advanced cancer of the cervix, endometrium and ovary. Then there are useful chapters on pelvic pain, odours and discharges, fistulae, and psychosexual problems. There is a good chapter on thrombosis and bleeding, although I think there is sufficient evidence to advocate the continued use of LMWH in patients with advanced disease and a short life expectancy, rather than subjecting them to warfarin, which may be ineffective and is always difficult to manage.

The use of the words “With permission”, without revealing the source, next to reproductions of other’s diagrams, is not a practice that should be encouraged.

This book contains a wealth of information pertinent to the good symptomatic care of patients with advanced gynaecological malignancy and will be a welcome addition to the palliative care unit bookshelf.


Roger Woodruff
Director of Palliative Care, Austin Health, Melbourne, Australia
(May 2004)


Author Information

Dr. Sara Booth is Macmillan Consultant in Palliative Medicine, Addenbrooke’s Palliative Care Service, Cambridge, UK

Professor Eduardo Bruera is Professor of Palliative Medicine, University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA


Table of Contents

1. The assessment and management of advanced cancer of the cervix
Verschraegen, Smith, Padilla-Paz, Gorty, Liem, Loyer & Kaur
2. The assessment and management of advanced cancer of the ovary
Basu, Palmer, Abraham & Earl
3. Endometrial cancer: fundamentals and advanced disease
Kavanagh
4. Pelvic pain syndromes and their management in advanced gynaecological malignancy
Mercadante
5. The management of odours and discharge in gynaecological cancer
Tate
6. The management of fistulae
Crawford
7. The management of bowel obstruction
Oneschuk
8. Psychosexual problems in gynaecological malignancy
Burgess
9. Thrombosis and bleeding problems in gynaecological malignancy
Alison
10. The management of ascites
Bowen, Thomas & von Gunten
11. The management of urinary tract obstruction in advanced pelvic disease
Richards & Ritchie
12. The last days of life
Ellershaw
Index

 

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