An Atlas of Gynecologic Oncology To Mr Tom Lewis and Dr Bruce A Barron, whose friendship was responsible for bringing the editors together JRS To my family—from the smallest latest joyous addition, to the oldest and wisest, some departed, and in the center of them all, my wife, Men-Jean Lee GDP An Atlas of Gynecologic Oncology Edited by J Richard Smith, MB ChB, MD, FRCOG Consultant and Honorary Senior Lecturer in Gynaecology Co-Director of Gynaecologic Oncology Imperial College School of Medicine Chelsea and Westminster Hospital London, UK Visiting Associate Professor of Gynecology New York University School of Medicine New York, USA Giuseppe Del Priore MD, MPH, FACOG Chief of Gynecologic Oncology Bellevue Hospital Assi stant Director of Gynecological Oncology New York University School of Medicine New York, USA John Curtin, FACOG, MD Gynecologist/Oncologist Department of Gynecological Oncology Memorial Sloan-Kettering Hospital New York, USA John M Monaghan MB ChB, FRCS(Ed), FRCOG Senior Lecturer in Gynaecological Oncology University of Newcastle upon Tyne Northern Gynaecological Oncology Centre Queen Elizabeth Hospital Gateshead, UK With artwork by Dee McLean Joanna Cameron Martin Dunitz © Martin Dunitz Ltd 2001 First published in the United Kingdom in 2001 by Martin Dunitz Ltd, The Livery House, 7–9 Pratt Street, London NW1 0AE This edition published in the Taylor & Francis e-Library, 2005. “To purchase your own copy of this or any of Taylor & Francis or Routledge’s collection of thousands of eBooks please go to www.eBookstore.tandf.co.uk.” All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of the publisher. A CIP record for this book is available from the British Library. ISBN 0-203-41954-5 Master e-book ISBN ISBN 0-203-44478-7 (Adobe eReader Format) ISBN 1 85317 490 4 (Print Edition) Distributed in the United States by: Blackwell Science Inc. Commerce Place, 350 Main Street Maiden, MA 02148, USA Tel: 1–800–215–1000 Distributed in Canada by: Login Brothers Book Company 324 Salteaux Crescent Winnipeg, Manitoba, R3J 3T2 Canada Tel: 204–224–4068 Distributed in Brazil by: Ernesto Reichmann Distribuidora de Livros, Ltda Rue Coronel Marques 335, Tatuape 03440–000 Sāo Paulo Brazil Composition by Scribe Design, Gillingham, Kent Contents List of contributors vii Acknowledgments xii Preface xiii 1 Introduction J Richard Smith and Giuseppe Del Priore 1 2 Anatomy Werner Lichtenegger and Giuseppe Del Priore 10 3 Tumour markers Usha Menon and Ian J Jacobs 23 4 Cross-sectional imaging Jeremiah Healy and Simon Padley 43 5 Sigmoidoscopy, cystoscopy and stenting Peter A Davis and David J Corless 62 6 Cone biopsy Giuseppe Del Priore 72 7 Radical abdominal hysterectomy J Richard Smith, Deborah CM Boyle and Giuseppe Del Priore 78 8 Radical vaginal hysterectomy Daniel Dargent 93 9 Radical vaginal trachelectomy Marie Plante and Michel Roy 106 10 Radical abdominal trachelectomy Deborah CM Boyle, Laszlo Ungars, Giuseppe Del Priore and J Richard Smith 125 11 Central recurrent cervical cancer: the role of exenterative surgery John Monaghan 134 12 Pelvic side-wall recurrence of cervical cancer: the LEER/CORT procedure Michael Höckel 148 13 Surgical management of trophoblastic disease 170 J Richard Smith, Michael Seckl and Deborah CM Boyle 14 Epithelial ovarian cancer Jane Bridges and David Oram 172 15 Radical vulvar surgery Roland Matthews 185 16 Laparoscopy Farr Nezhat and Carmel Cohen 192 17 Bowel surgery Eileen M Segreti and Charles Levenback 225 18 Urologic procedures Jonathan A Cosin and Jeffrey M Fowler 248 19 Fistula repair Paul Hilton 271 20 Treatment of vascular defects and injuries Karl A Illig and Kenneth Ouriel 298 21 Plastic reconstructive procedures Peter G Cordeiro and Richard R Barakat 308 22 Pain management Andrew Lawson 328 23 Doctor-patient communication J Richard Smith and Mark Bower 337 Index 344 vi Contributors Richard R Barakat MD Gynecology Service Department of Surgery Memorial Sloan-Kettering Cancer Center 1275 York Avenue New York, NY 10021, USA Mark Bower, PHD, MRCP Department of Medical Oncology Chelsea and Westminster Hospital 369 Fulham Road London SW 10 9NH, UK Deborah CM Boyle, MB ChB, DFFP Department of Obstetrics and Gynaecology Chelsea and Westminster Hospital 369 Fulham Road London SW 10 9NH, UK Jane Bridges, MB chB, MRCOG Department of Obstetrics and Gynaecology Chelsea and Westminster Hospital 369 Fulham Road London SW 10 9NH, UK Carmel J Cohen, MD Gynecologic Oncology Obstetrics, Gynecology and Reproductive Science Mount Sinai Medical Center One Gustave L Levy Place New York, NY 10029–6574, USA Peter G Cordeiro, MD, FACS Plastic and Reconstructive Surgery Service Memorial Sloan-Kettering Cancer Center 1275 York Avenue New York, NY 10021, USA David J Corless, MD, FRCS Department of Surgery Leighton Hospital Middlewich Road Crewe CW1 4QJ, UK Jonathan A Cosin, MD Obstetrics, Gynecology and Women’s Health University of Minnesota Medical School Box 395 420 Delaware Street SE Minneapolis, MN 55455, USA John Curtin, MD, FACOG Department of Gynecological Oncology Memorial Sloan-Kettering Hospital 1275 York Avenue New York, NY 10021, USA Daniel Dargent MD Gynécologic Obstétrique Hôpital Edouard Herriot Place d’Arsonval F-69437 Lyon Cedex 03, France Peter A Davis, MA, MChir, FRCS Department of Surgery Chelsea and Westminster Hospital 369 Fulham Road London SW 10 9NH, UK Giuseppe Del Priore, MD, MPH Gynecologic Oncology New York University Medical Center 550 First Avenue New York, NY 10016, USA Jeffrey M Fowler, MD Division of Gynecologic Oncology Ohio State University College of Medicine 1654 Upham Drive, 5th Floor Means Hall viii Columbus, OH 43210, USA Jeremiah Healy, MA, MRCP, FRCR Department of Imaging Chelsea and Westminster Hospital 369 Fulham Road London SW 10 9NH, UK Paul Hilton, MD, FRCOG Department of Gynaecology Royal Victoria Infirmary Newcastle upon Tyne NE1 4LP, UK Michael Höckel, MD, PhD Universitätsfrauenklinik Triersches Institut Philipp-Rosenthal-Strasse 55 D-04103 Leipzig, Germany Karl A Illig MD Division of Vascular Surgery University of Rochester Medical Center 601 Elmwood Avenue, Box 652 Rochester, NY 14642, USA Ian J Jacobs, MD, MRCOG Department of Gynaecological Oncology St Bartholomew’s Hospital London EC1A 7BE, UK Andrew Lawson, FANZCA, FFARACS, FFARCSI, DA Magill Department of Anaesthesia Chelsea and Westminster Hospital 369 Fulham Road London SW 10 9NH, UK Charles Levenback MD Gynecologic Oncology MD Anderson Cancer Center University of Texas 1515 Holcombe Boulevard Houston, Texas 77030, USA Werner Lichtenegger MD Universitätsklinikum Charité Medizinische Fakultät der Humboldt-Universität Augustenburger Platz 1 ix