If you are about to read this guide to cervical, uterine and ovarian cancer, you may be in one of several situations: You have a symptom such as vaginal bleeding that requires evaluation; you may have had an abnormal Pap test; or you may have had a biopsy that resulted in the diagnosis of a gynecologic cancer and are in the process of understanding your treatment options. The purpose of this guide is to clarify the complex terms and procedures that comprise each process, from diagnosis to therapy and recovery. You will be making important decisions and this guide is designed to help you each step of the way, whatever treatment you may need.

Gynecologic cancer refers to all cancers of the female genital tract. Each of the major gynecologic cancers -- cervical, uterine and ovarian -- presents unique challenges. Cervical cancer is detectable with routine screening and can be picked up early thanks to the Pap test. Developed by Dr. George Papanicolaou in the 1940s, the Pap test, sometimes called a Pap smear, allows cervical cancer to be found in its early stages by testing women who may or may not be experiencing symptoms. Fewer women die of cervical cancer each year because of the Pap test. Uterine, or endometrial, cancer also has a very high cure rate when found early. Ovarian cancer presents a particular challenge, but with treatment advances, women are living longer than ever and many are being cured.

If you have been diagnosed with a gynecologic cancer, this guide will assist you with understanding your test results and the rationale for treatment. It will also familiarize you with sometimes confusing terminology and prepare you as you go through the steps of diagnosis and therapy. We at the Cancer Center of Beth Israel Medical Center, St. Luke's-Roosevelt Hospital Center, and the Othmer Cancer Center of Long Island College Hospital are committed to providing patients with the necessary information to ensure that they participate in all aspects of their health care.

It is important for patients to feel comfortable with the care they receive. Therefore, you should use this guide as a reference whenever you have a question or do not clearly understand a diagnostic procedure or treatment process. At the same time, we encourage you to ask your physicians, nurses and other health care professionals questions whenever you do not completely understand any aspect of your care. It may also be helpful to bring your partner or a friend with you to help you ask questions. To further assist you, we have provided a list of additional resources at the end of this guide.

Continuum Health Partners' expert gynecologic oncology services are available at Beth Israel Medical Center, St. Luke's-Roosevelt Hospital Center and Long Island College Hospital. Together, they offer a comprehensive network of specialists who are committed to excellence in patient care.

Gynecologic oncology services are provided by the Obstetrics and Gynecology Department of each hospital as well as the Cancer Center of Beth Israel Medical Center and the Othmer Cancer Center of Long Island College Hospital. Members of each multi-disciplinary health care team are dedicated to addressing all aspects of care for women with gynecologic cancer, including family support, social services and patient education.

It is important for women to understand each step involved in the diagnosis and treatment of ovarian, cervical and uterine cancer. Early detection and proper treatment can lead to an excellent prognosis for these cancers.

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