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Korean Journal of Obstetrics & Gynecology 2007;50(6):821-830.
Published online June 1, 2007.
Management of breast cancer survivors in gynecologic area.
Yoo Kyung Lee, Jae Weon Kim, Soon Beom Kang
Department of Obstetrics and Gynecology, College of Medicine, Seoul National University, Seoul, Korea. ksboo308@plaza.snu.ac.kr
Abstract
Incidence of breast cancer and breast cancer survivors has increased in Korea. Breast cancer can affect physical and psychological aspects of cancer survivor by itself and treatment of it. Lots of problems in breast cancer survivors related with gynecological issues, especially in young age. Endometrial and ovarian cancer can occur in breast cancer survivors. It needs to check family history, gynecologic examination, and transvaginal sonography routinely. Young women often experience early menopause as a result of therapy for their breast cancer. Nonpharmacological and pharmacological options can help the survivors with vasomotor symptoms. Osteoporosis can be prevented with calcium and vitamin D supplement, and be treated with drugs such as bisphosphonates. Urogynecologic atrophy distress the survivors, but can be improved with vaginal moisturizer or estrogen. Even though these problems also affect the sexuality of survivors, doctors can help them to cope with it by counseling and medication. As the breast cancer survivors make contact with obstetrics and gynecologic clinic closely, we can improve the quality of life of them ultimately as clinicians.
Key Words: Breast cancer, Survivor, Management


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