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Gynecologic Oncology

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Geriatric Medicine

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Abstract

This chapter introduces key concepts and principals of diagnosis and management of gynecologic malignancies in older adults. It provides overview of the occurrence of different types of gynecologic cancers in older adults, general principals of diagnosis and treatment of these cancers, describes disparities in care for older adults with gynecologic cancers, and provides recommendations to individualize their care. Symptoms at presentation vary by cancer type and stage, and screening is currently available and recommended only for cervical cancer. Treatment of gynecologic cancers also varies by cancer type and stage and can include surgery, radiation, and or systemic treatments such as chemotherapy. Older patients have worse outcomes than their younger counterparts and black and Latino women are less likely to receive standard of care and have worse outcomes compared to white women. The final section reviews available geriatric assessment-based tools to be used during treatment decision-making to identify older women at high risk for adverse effects from cancer treatment.

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Author information

Authors and Affiliations

  1. Wilmot Cancer Institute, University of Rochester, Rochester, NY, USA

    Sindhuja Kadambi

  2. Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    William P. Tew

Authors
  1. Sindhuja Kadambi
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  2. William P. Tew
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Corresponding author

Correspondence to William P. Tew .

Editor information

Editors and Affiliations

  1. California Association of Long Term Care Medicine, Newbury Park, CA, USA

    Michael R. Wasserman

  2. Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA, USA

    Debra Bakerjian

  3. Department of Clinical Pharmacy, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, CO, USA

    Sunny Linnebur

  4. Division of Geriatrics, SUNY Upstate Medical University, Syracuse, NY, USA

    Sharon Brangman

  5. Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy

    Matteo Cesari

  6. Section of Geriatric Medicine, Division of Internal Medicine, Department of Medicine, Cedars-Sinai, Beverly Hills, CA, USA

    Sonja Rosen

Section Editor information

  1. Department of Medicine, Geriatrics Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Armin Shahrokni MD

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Kadambi, S., Tew, W.P. (2024). Gynecologic Oncology. In: Wasserman, M.R., Bakerjian, D., Linnebur, S., Brangman, S., Cesari, M., Rosen, S. (eds) Geriatric Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-74720-6_81

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  • DOI: https://doi.org/10.1007/978-3-030-74720-6_81

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-74719-0

  • Online ISBN: 978-3-030-74720-6

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