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  1. Home
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  3. Cancer and Reproductive Health
  • Cited by 2
Publisher:
Cambridge University Press
Online publication date:
October 2014
Print publication year:
2008
Online ISBN:
9781107786110
DOI:
https://doi.org/10.1017/CBO9781107786110
Subjects:
Obstetrics and Gynecology, Reproductive Medicine, Medicine
Series:
Royal College of Obstetricians and Gynaecologists Study Group
Information

Book description

While cancer affects primarily the elderly, it also occurs in younger age groups, with different implications specifically relating to reproduction. Cancer can also occur during pregnancy itself. This brings together two diverse areas of medicine, encompassing the complexity of cancer and its varied biology and the equally challenging areas of fertility, conception and pregnancy. The 55th RCOG Study Group brought together a range of experts to examine these issues. This book presents the findings of the Study Group, with sections covering:epidemiology, genetics and basic principles of chemotherapy and radiotherapyfertility issues and paediatric cancersgynaecological cancers and precancerdiagnostic dilemmasthe placentanon-gynaecological cancersmultidisciplinary care and service provision.

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Contents

Page 2 of 2

Contents
  • 21 - Multidisciplinary care
    pp 267-278
  • View abstract

    Summary

    This chapter explores some issues surrounding multidisciplinary care and considers the future development of high-quality services for cancer patients. Multidisciplinary care has focused on the multidisciplinary team (MDT) and their functioning in a multidisciplinary meeting (MDM). The key benefits of multidisciplinary care for people with cancer hinge around team working to provide a rounded and coordinated approach to diagnosis, treatment, continuing care and survivorship. The primary aim of multidisciplinary care is to improve the diagnosis and treatment for individual patients. The role of the nurse as patient advocate has developed within the cancer MDT, with nurses participating in treatment decisions and negotiating the cancer experience. Considering the needs of the woman regarding fertility, sexual function and sexuality, hormonal function and psychological wellbeing is an essential part of high-quality health care. The MDT can help, guide and protect the cancer patient on the journey for survival.
  • 22 - Consensus views arising from the 55th Study Group: Cancer and Reproductive Health
    pp 281-284
  • View abstract

    Summary

    This chapter presents the consensus views arising from the 55th study group of cancer and reproductive health. A national cancer and pregnancy database should be developed to include data regarding the outcome of all cases of multiple pregnancies where there is a hydatidiform mole and a normal fetus. Further research into the pharmacokinetics of chemotherapeutic agents during pregnancy and lactation, and the effects on placenta, fetus and infant, is required. Guidelines should be developed for the use of frozen sections in pregnancy or otherwise. National standards of care and pathways should be produced to address the unique needs of cancer patients with regard to rapid access to fertility care. All cancer multidisciplinary teams should consider the possible consequences of cancer treatment for fertility and reproductive health. All molar pregnancies should be registered with the one of the three UK National Trophoblast Centres for follow-up.

Page 2 of 2

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