
Lesson 23 • 17 Jan 2025
Cervical Cancer Survivorship: Hormone Therapy, Dilators, and Sexual Health
Course overview
This course examines gynecologic cancer care across the spectrum of surveillance, radiation therapy, and hereditary risk management. You will learn to apply current surveillance guidelines and evaluate the evidence supporting de-escalation of cytology and routine imaging, as well as to understand advances in radiation planning, brachytherapy techniques, and long-term toxicity management. The curriculum also covers the identification of hereditary cancer red flags, approaches to patient counseling for genetic testing and risk-reducing surgery, hormone therapy after gynecologic cancer, and the emerging applications of circulating tumor DNA (ctDNA). Additional topics include survivorship counseling to support quality of life after treatment. Learn from Drs. Ritu Salani, Andrew Lim, Mona Guo, and Marcia Ciccone as they share practical expertise and clinical strategies in gynecologic oncology.
hours, 22 lessons
Lessons
Surveillance after Gynecologic Cancer Treatment: Evidence and Practice
Lesson 1
Building Surveillance Guidelines from Limited Prospective Evidence
Lesson 2
Lead Time Bias and the Goals of Cancer Surveillance
Lesson 3
Ovarian Cancer Surveillance: Symptom Review, CA-125, and Physical Examination
Lesson 4
Endometrial Cancer Surveillance after the TOTEM Trial
Lesson 5
Cytology De-Escalation and Hormone Therapy after Gynecologic Cancer
Lesson 6
Circulating Tumor DNA: Applications, Limitations, and Evidence Gaps
Lesson 7
Practical ctDNA Use and Retiring Routine Surveillance Cytology
Radiation Therapy for Gynecologic Cancers: Techniques and Toxicity
Lesson 8
From Four-Field Box to IMRT: Modern Radiation Planning and Delivery
Lesson 9
Hypofractionation: Why Gynecologic Regimens Remain Longer Than Prostate
Lesson 10
Image-Guided Interstitial HDR Brachytherapy for Cervical Cancer
Lesson 11
Why Brachytherapy Cannot Be Replaced by External Beam Boost
Lesson 12
Cervical Cancer Survivorship: Hormone Therapy, Dilators, and Sexual Health
Lesson 13
Long-Term Radiation Toxicity: Mechanisms, Management, and Risk Factors
Lesson 14
Re-Irradiation, Palliative Regimens, and Stereotactic Radiosurgery for Brain Metastases
Hereditary Gynecologic Cancer Syndromes: Testing, Counseling, and Risk Reduction
Lesson 15
Recognizing Hereditary Cancer Red Flags in the Family History
Lesson 16
Referral Criteria, Pretest Counseling, and Variants of Uncertain Significance
Lesson 17
Genetic Testing Logistics and Coordinating High-Risk Care
Lesson 18
Counseling the BRCA1 Carrier: Surgical Timing and Salpingectomy Trials
Lesson 19
Risk-Reducing Surgery Technique, Breast Screening, and Chemoprevention
Lesson 20
Elevated Risk without a Mutation: Thresholds and Screening Limits
Lesson 21
Nonhormonal Menopause Management and Lynch Syndrome Tumor Screening
Lesson 22
Germline Testing, Insurance Barriers, Fertility Referral, and Cascade Testing
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