Dr Rubab Khalid: Module 17: Gynaecological Oncology

Cancer womb ovary Fallopian tube vulva Module 17 rcog gynae oncology

This post is an outline of the Module 17: Oncology. This is an important module to be covered as a few questions will be inevitably asked in the MRCOG part 2 exam. This module needs to be approached systematically.

If you have a look at the details of module on ROCG website, you will know that the organs to be covered are: Cervix, Endometrium, Ovary, Vulva, Vagina and Fallopian Tubes
You can make a big folder with the name “Oncology” with five subfolders namely Cervix, Endometrium, Ovary, Vulva and General (as outlined below in tables)
For each organ, conditions are divided into three categories: Benign, Pre-Malignant and Malignant
FIGO classification of all tumors must be on your last minute revision list, as we tend to forget it very often
Treatment options at EACH stage as well as referral pathways
Overall survival/ Recurrence rates
Radiotherapy, Chemotherapy, Palliative care & End of life care
Your notes are KEY in this module
Make sure your notes cover all above mentioned points for each tumor
Keep revising the numbers so that you can recall it easily in exam
This module is well described in StratOG and a lot of material is available on RCOG website
Following tables will help you organize the reading resources (please add more if I have missed any)

Please let me know in comments if this is helpful. Suggestions for improving future posts are welcome.

Thanks

Module 17: Gynaecological Oncology Details

Cervix
Screening	Colposcopy Guideline: NHSCSP 2016 Cervical Cancer Screening 2020
SIP	#7 Progress in Cervical Screening in UK #21 Reproductive Outcomes after Local Treatment for Pre invasive Cervical Disease
TOG	Cervical cancer prevention and screening; the role of HPV The management of Pregnancy after trachelectomy for early cervical cancer (2017)

Endometrium
GTG 67	Management of Endometrial Hyperplasia
SIP	#32 Endometrial Cancer in Obese women #51 Sentinal lymph Node biopsy in Endometrial Cancer
TOG	Detecting endometrial cancer 2021 Lynch Syndrome for gynecologist 2021 Summary Click Here Unscheduled bleeding with HRT 2019 Summary Click Here Endometrial Cancer and Obesity 2019 Summary Click Here Endometrial pathology in the postmenopausal woman Management of women with postmenopausal bleeding

Ovary
GTG	#34 The Management of Ovarian Cysts in Postmenopausal Women #62 Management of Suspected Ovarian Masses in Premenopausal Women
NICE	Ovarian Cancer
SIP	#2 Management of Female Malignant Ovarian Germ Cell Tumours #45 Management of Ascites in Ovarian Cancer Patients #44 The Distal Fallopian Tube as the Origin of Non-Uterine Pelvic High-Grade Serous Carcinomas #25 Optimum Surgery in Advanced-stage Ovarian Cancer #12 Targeted Therapies for the Management of Ovarian Cancer #66 Risk Reducing Salpingo-oopherectomy and HRT below the Age of Natural Menopause
TOG	Non-epithelial Ovarian Cancers 2021 Summary Click Here Raised CA125 2021 Summary Click Here Management of ovarian cysts in children and adolescents 2020 Diagnosing adnexal tumours before surgery Risk-reducing surgery for women at high risk of epithelial ovarian cancer Management of borderline ovarian tumors

Vulva
RCOG	Guidelines for the Diagnosis and Management of Vulval Carcinoma
BASHH	UK National Guideline on the Management of Vulval Conditions
TOG	Squamous vulval cancer–an update The management of vulval itching caused by benign vulval dermatoses
OGRM	Skin diseases affecting the vulva (2014)

General Oncology
SIP	#48 Management of Women with a Genetic Predisposition to Gynaecological Cancers #35 Fertility Sparing Treatments in Gynaecological Cancers
TOG	Shared decision making in gynaecological oncology; a challenge in an ageing population 2021 Fertility on ice: an overview of fertility preservation for children and adolescents with cancer 2021 HRT following treatment of gynaecological malignancies 2019 Pelvic exenteration for recurrent gynaecological cancer after radiotherapy Management of Gynaecological Cancer in Pregnancy Update on radiotherapy in gynaecological malignancies Surgical management of bowel obstruction in gynaecological cancer Pregnancy following treatment for malignancy Reproductive Health in female survivors of childhood cancer Update on Chemotherapy in gynaecological cancers The fallopian tuba as origin of non-uterine pelvic high-grade serous carcinoma The molecular and genetic basis of inherited cancer risk in gynaecology Relationship between infertility and cancer
Websites	https://www.cancerresearchuk.org/about-cancer