RT Book, Section
A1 Suidan, Rudy S.
A1 McKeown, David G.
A1 Boland, Patrick J.
A2 Bristow, Robert E.
A2 Chi, Dennis S.
SR Print(0)
ID 1115055273
T1 Bone and Extended Pelvic Resections
T2 Radical and Reconstructive Gynecologic Cancer Surgery
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071808095
LK hemonc.mhmedical.com/content.aspx?aid=1115055273
RD 2024/04/18
AB Most  recurrent  and  locally  advanced  gynecologic  malignancies  carry  a  poor  prognosis.  Advances  in  multimodality  management  have  improved  local  control  and  overall  survival  (OS).1,2,3  Historically,  tumors  invading  the  pelvic  sidewall  or  involving  the  major  vessels  or  nerves  were  considered  inoperable.  Early  reports  of  central  pelvic  exenteration  were  discouraging  and  associated  with  high  perioperative  mortality  (28%)  and  major  complications  (100%).4  Advances  in  several  medical  disciplines  have  resulted  in  greatly  improved  outcome  and  reduced  morbidity  and  mortality  in  the  management  of  these  complex  tumors.  Increasingly  effective  chemotherapy  and  refinement  in  methods  of  radiation  administration  have  rendered  these  large  tumors,  most  of  which  had  previous  radiation  therapy,  amenable  to  wide  surgical  resection.