Episode 41: Evidence with Anne - Gynaeoncology
In this electrifying episode of The Uterine Sound podcast, hosts Carla Pecoraro, Mel Acreman, and Anne Woolfield dive into groundbreaking gynaecology oncology research that could transform patient care.
First, we unravel the mysteries of the PLCO study—“Effect of Screening on Ovarian Cancer Mortality.” This 2011 JAMA blockbuster pits CA125 and transvaginal ultrasound against routine care in a high-stakes battle for ovarian cancer mortality. With over 78,000 women in the mix, the results are eye-opening: while screening increased cancer diagnoses, it didn’t cut mortality rates. Plus, the fallout from false positives led to serious complications. Tune in to find out why this study could reshape how we think about ovarian cancer screening.
Next, the podcast heats up with the LACE trial—“Effect of Total Laparoscopic Hysterectomy vs Total Abdominal Hysterectomy on Disease-Free Survival.” Published in 2017, this study compares laparoscopic hysterectomy to the traditional abdominal approach in treating stage 1 endometrial cancer. Discover how TLH stacks up against TAH in terms of disease-free survival and why TLH's benefits might make it the new gold standard for quicker recoveries and less post-op pain.
Get ready for a dynamic episode packed with crucial insights from these landmark trials. Whether you're a clinician or just curious, this episode delivers cutting-edge information that’s essential for understanding and improving gynaecological cancer care. Don’t miss out—this is a must-listen for anyone invested in women's health!
Episode 40: Endometrial Cancer Part 2
This week on The Uterine Sound, we're diving deep into the world of endometrial cancer. Meet Pamela, a 64-year-old with post-menopausal bleeding and a concerning endometrial thickness of 15mm. After a hysteroscopy and curettage, Pamela’s results reveal endometrioid adenocarcinoma.
Join us as we walk through Pamela's journey, from delivering the diagnosis and outlining the next steps to discussing staging and management strategies. We'll cover:
Breaking the News: How to approach delivering a cancer diagnosis with compassion and clarity.
Staging & Investigations: What tests are crucial before referring to the Gynecology Oncology team.
Surgical Options: The preferred surgical approach for endometrial cancer and the evolving role of lymph node evaluation.
Adjuvant Therapy: Decisions on whether Pamela needs additional treatment based on her cancer’s risk classification.
Follow-Up & Recurrence: Strategies for monitoring and managing potential recurrences, including when to consider advanced treatments.
Tune in to explore the complexities of managing endometrial cancer and gain insights into how treatment plans are tailored to individual cases.
Episode 39: Endometrial Cancer Part 1
In this eye-opening episode of The Uterine Sound podcast, hosts Carla, Mel & Anne tackle the rising tide of endometrial cancer. With rates surging due to factors like obesity and an ageing population, this episode sheds light on why it’s more important than ever to understand and address these trends.
Discover essential strategies for prevention, from making lifestyle changes like improving diet and exercise to leveraging hormonal contraceptives. The hosts also unravel the complexities of endometrial cancer classification and tackle the ongoing debate about the effectiveness of screening.
Tune in for a comprehensive exploration of endometrial cancer, complete with actionable insights and the latest research updates. Don’t miss this crucial discussion that promises to keep you informed and empowered.
Episode 36: Gestational Trophoblastic Neoplasia
Join hosts Carla, Mel, and Anne on this episode of "The Uterine Sound" as they unravel the complexities of Gestational Trophoblastic Neoplasia (GTN). Discover the fascinating world of these rare tumours, from the aggressive choriocarcinoma to the mysterious invasive mole. Learn about the critical follow-up care involving bhCG testing and explore the groundbreaking treatments that boast nearly 100% cure rates. The hosts also delve into the unique challenges of rarer forms like placental site trophoblastic tumour and epithelioid trophoblastic tumour. Whether you're studying for your RANZCOG exams or just curious about the latest in gyneacologic oncology, this episode is packed with intriguing insights and vital information. Don't miss out!