Psychosomatic Aspects of Gynecologic Oncology: Present Status and Future Directions

Among women genital malignancies are second in frequency only to breast cancer. Primary disease sites include the endometrium, cervix, ovary, and vulva. With early diagnosis and aggressive therapy, two-thirds of these women will survive for at least 5 years. This encouraging prognosis is in contrast to the distress that may be experienced by women during diagnosis, treatment, and recovery periods. A brief review of major avenues of current research and clinical work is provided, including; psychological responses to gynecologic cancer symptomatology; affective distress; sexual problems; and treatment-related distress. Areas for future investigation are highlighted, including difficulties occurring with disease recurrence; disruption of close relationships; and problems of the elderly woman with cancer.