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Spotlight on…gynaecological cancer

Much has changed in the emphasis of gynaecological cancer in the working practices of the generalist in obstetrics and gynaecology. When I was a trainee and in my early years as a consultant there was no such thing as a fast-track clinic. This meant that there was a chance of encountering a cancer at any gynaecology clinic so a high index of suspicion was required. A consequence of the new referral system is that generalist gynaecologists and their trainees don’t expect to see new patients with cancer and the subsequent surgical treatment is performed by gynaecological oncologists or local lead consultants. The reality is that generalists will still unexpectedly encounter gynaecological malignancies either in the clinic or the operating theatre and therefore TOG needs to cover oncological topics appropriately. Another consequence of the subspecialisation is that issues that trouble gynaecological oncologists may not be generally understood. TOG has published a range of reviews and discussions on gynaecological oncology. I have chosen a selection to represent some of the issues. They also illustrate the need to regularly revisit topics with time as even some recent authoritative reviews have rapidly become out of date.