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LCAGynaecological CancerClinical Guidelines!

LCA Gynaecological cancer Clinical Guidelines July 2014 LCA GYNAECOLOGICAL cancer CLINICAL GUIDELINES Contents Introduction .. 5 Executive summary .. 6 1 The Structure of Gynaecology Oncology Services .. 7 cancer units .. 7 cancer centres .. 7 2 Referral for Suspected Gynaecological cancer .. 9 Primary care referrals .. 9 Referrals to the cancer centre .. 10 Children, teenagers and young adults .. 10 3 Data Requirements .. 11 The cancer Outcomes and Services Dataset (COSD) .. 11 Systemic Anti- cancer Therapy dataset (SACT) .. 11 Radiotherapy Dataset (RTDS) .. 11 cancer Waiting Times dataset .. 11 Local data requirements .. 12 4 Ovarian cancer .. 13 Background .. 13 Presentation and referral .. 14 Initial diagnostic investigations .. 15 Staging .. 16 Management .. 19 Follow- up .. 26 Carcinosarcomas .. 27 Non- epithelial ovarian tumours .. 27 Germ cell tumours .. 27 Borderline ovarian tumours .. 28 Research .. 29 5 cancer of the Endometrium.

INTRODUCTION! 5! Introduction! The!London!Cancer!Alliance!(LCA)!Gynaecological!Cancer!Clinical!Guidelines!provide!apractical! multidisciplinary!guide!for!the!diagnosis,!treatment!and!holistic!care!and!support!of!patients!with

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  Care, London, Alliance, Cancer

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