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Correspondence
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Volume 352:1268-1269 March 24, 2005 Number 12
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Cancer of the Ovary

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 by Cannistra, S. A.
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To the Editor: In many women with ovarian cancer, moderate-to-severe pain develops, and many have recurrent bowel obstructions that severely impair the quality of their lives. The otherwise comprehensive review of cancer of the ovary by Cannistra (Dec. 9 issue)1 would have benefited from including reviews of studies of the quality of life of women with ovarian cancer,2 management of their often neuropathic pain,3 nonsurgical options for the treatment of bowel obstruction,4 and medical decision making.5 Similarly, the discussion should have covered the benefits and limitations of parenteral nutrition, hospice referral, and the psychosocial aspects of care.


Ursula Matulonis, M.D.
. . . [Full Text of this Article]




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