Reducing Overtreatment in Gynecologic Oncology: The Case for Less in endometrial and Ovarian Cancer

被引：8

作者：

Temkin, Sarah M. ^{[1
]}

Tanner, Edward J. ^{[2
]}

Dewdney, Summer B. ^{[3
]}

Minasian, Lori M. ^{[1
]}

机构：

[1] NCI, Canc Prevent Div, NIH, Bethesda, MD 20892 USA

[2] Johns Hopkins Sch Med, Kelly Gynecol Oncol Serv, Baltimore, MD USA

[3] Rush Univ, Sch Med, Div Gynecol Oncol, Chicago, IL 60612 USA

来源：

FRONTIERS IN ONCOLOGY | 2016年 / 6卷

关键词：

gynecologic cancer; ovarian cancer; endometrial cancer; overtreatment; cancer care delivery; SURVEILLANCE PROCEDURES; RADIATION-THERAPY; PELVIC RADIATION; CORPUS CANCER; LYMPHADENECTOMY; SURVIVAL; BRACHYTHERAPY; RADIOTHERAPY; CARCINOMA; SOCIETY;

D O I：

10.3389/fonc.2016.00118

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

A growing awareness of the harms of overtreatment in cancer care has reached physicians, patients, health policy makers, and medical researchers. Overtreatment exposes patients to the risk of adverse events from procedures or medications that were not necessary. This review examines common practices in gynecologic malignancies that are unlikely to produce direct benefit to patients with these malignancies, but are likely to produce harms. Specifically, we will explore the utility of lymphadenectomy and adjuvant radiation for women with early-stage endometrial cancer; and screening for recurrence and continuous chemotherapy for advanced-stage ovarian cancer patients.

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页数：6

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