Handbook of Gynecologic Oncology

Handbook of Gynecologic Oncology

Handbook of Gynecologic Oncology, edited by Drs.
Barakat, Bevers, Gershenson, and Hoskins, is a first-edition clinical handbook
formulated primarily for fellows in gynecologic oncology as well as for
interested fellows in medical oncology and radiation oncology. The textbook
presents concise summaries of the critical issues in the care of gynecologic
cancer patients and would also be of interest to residents preparing for their
gynecologic oncology rotations, obstetrician/gynecologists, other physicians who
care for gynecologic cancer patients, and practicing gynecologic oncologists.

Handbook of Gynecologic Oncology is the result of a collaboration
between the faculties of M. D. Anderson Cancer Center and Memorial
Sloan-Kettering Cancer Center—considered the birthplaces of the gynecologic
oncology subspecialty and fellowship training. The editors and the 29 additional
authors, many of whom are recognized experts in their field, are exclusively
affiliated with these two large cancer centers, and in this text, they pass on
pearls of wisdom concerning gynecologic cancer care gleaned over the past 40
years in addition to information from the current literature.

The organizational scheme of the book closely follows the standard curriculum
for the gynecologic oncology fellowship. The first chapter presents an overview
of statistics in understandable terms using specific examples from the field of
gynecologic oncology. The concepts and facts relevant to the interpretation of
clinical literature and manuscript preparation are the focus of the chapter,
making it a good quick reference for young physicians early in their academic

Subsequent chapters present additional gynecologic oncology-related topics,
including pharmacology, critical care, perioperative care, nutrition, supportive
care, and minor surgical procedures. These chapters remain true to the aim of
the text, providing the information needed by busy clinical fellows.

The pharmacology section comprehensively and effectively outlines the
management of multiple common clinical problems such as pain management, bone
marrow suppression, neutropenic fever, chemotherapy-induced nausea, and fluid
and electrolyte management. Utilizing multiple easy-to-read tables, the dosing
and potential side effects of the various medications used to treat the
gynecologic oncology patient are clearly outlined.

The illustrations in the chapter on procedures are clear and simple, pointing
out important anatomic landmarks. One potential area for improvement would be
the addition of a chapter that briefly describes and illustrates major surgical
procedures such as urinary conduit formation and bowel reanastamosis—interventions
that often require a quick review by the trainee before stepping into the
operating room.

The chapter on nutrition provides a good overview of broad issues but would
have been more helpful to the trainee if a step-by-step algorithm for
calculating and ordering total parenteral nutrition (TPN) solutions had been
included. The critical care chapter is especially succinct and complete. With
tables defining and explaining ventilator modes, types of shock, and other
important concepts, this chapter could serve both as a quick clinical reference
and concise study guide for the boards.


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