Pediatric Oncology

Gynecologic Cancers   

Questions discussed in this category


How do you "have the talk" in a way that is straightforward without emotionally crushing the patient?

How is your approach different from or similar to those who undergo surgical menopause? 

In patients who continue to have insomnia despite diphenhydramine, benzos, and trazodone, are there other evidence based treatments that are helpful?

What is the impact among patients and providers? Has your documentation been adjusted now that patients can readily review?

Assuming patient is <45 years old with cervical, vulvar, vaginal, anal, or head/neck cancers, or with CIN/VIN/VaIN/AIN/ oropharyngeal precancerous ...

s/p optimal debulking. If this was an early-stage cancer would it change your adjuvant therapy recommendations?

Would your counseling change if she reported a history of unplanned pregnancy? Is there any wording or waiver you might be able to use warning her of ...

Would you have reservations in treating patients with breast, GI, or pelvic malignancies with radiation alone or concurrent chemoradiation?

Specifically, are there strategies you use to 1) empower patients to participate in decision-making and 2) reassure patients who may be skeptical?

There are mixed recommendations about re-testing vs simply waiting for a quarantine period prior to resuming therapy. 

After optimizing symptoms and reversible factors, and attempting cognitive-behavioral interventions and exercise, do you recommend pharmacologic agent...

Obviously, patient and caregiver preferences are paramount. But, what factors do you consider? Does expanded hospice (e.g., Medicare Care Choices) inf...

How would you approach a patient who is receiving chemoRT but has confirmed COVID-19 with minor symptoms, as breaking treatment for 2 weeks quarantine...

How do you prevent early menopause in women? Please comment on freezing of eggs, oophopexy, supine vs prone position, vaginal dialator. 

My patient’s family has asked that I don’t tell her that she has metastatic cancer because it will devastate her. I am planning on palliat...


Papers discussed in this category


JAMA,

Gynecol Oncol, 2019 Aug 16

Lancet Oncol., 2020 Feb 14

Ann. Oncol., 2020 Mar 26

AJNR. American journal of neuroradiology, 1996-02

Journal of the National Cancer Institute, 2013-08-21

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2010-02

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2013-09-01

Gynecologic oncology, 2016-01

Gynecol Oncol, 2020 Jul 9

Gynecol Oncol, 2020 Jul 25

Ann Oncol, 2021 Mar 18

Obstet Gynecol,

Vaccines (Basel), 2021 Apr 21

Vaccine, 2020 Aug 04

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2011-10

Journal of oncology practice, 2019-01

Support Care Cancer, 2021 Aug 16

Arthritis Rheumatol, 2021 Apr 01

Practical radiation oncology, 2019-03

Cancer Cell, 2020 Oct 08

J Gen Intern Med, 2021 Feb 02

JAMA Netw Open, 2020 Jun 01

Journal of hospital medicine, 2018-08-01

Front Oncol, 2022 Mar 09

BMJ Support Palliat Care, 2022 Jul 08

Nutr Cancer, 2019 Oct 12

Gastroenterology, 1993-06

Gastroenterology, 1991 Jul

Z Naturforsch C J Biosci, 2002 Mar-Apr

Immunopharmacol Immunotoxicol, 2003 Nov

Exp Toxicol Pathol, 2002 Feb

Biochem Biophys Res Commun, 1999 Sep 24

Ital J Gastroenterol Hepatol, 1998 Dec

Chem Biol Interact, 2001 Dec 21

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2006-02-01

Obstet Gynecol, 1998 Oct

Acta Oncol, 2019 Apr 08

Gynecologic oncology, 1992-11

Cancer, 1998-03-15

Cancer, 1998-11-15

Cancer, 2004-03-01

Lancet Oncol, 2012 Mar

Cancer, 1996 Jul 15

Gynecol Oncol, 2001 Apr

J Clin Oncol, 2001 May 15

J Clin Oncol, 2007 Jul 10

Pediatric blood & cancer, 2018-02