[Gynecologic oncologists and their practice in the U.S.A].
The development of gynecologic oncology in the U.S.A. was briefly reviewed and the differences in treatment approaches to gynecologic cancers between Japan and U.S.A. were described. In 1969, the Society of Gynecologic Oncologists was organized and the subspecialty of gynecologic oncology was created as a subsidiary division of the American Board of Obstetrics and Gynecology in 1970. In the same year the Gynecologic Oncology Group, which is a national collaborative research group, was established. It was decided that a gynecologic oncologist should have training and skills in all effective forms of treatment of gynecologic cancers: radical pelvic surgery, radiation therapy and chemotherapy. This subspecialty was a real success and became the model for such systems throughout the world. The role of the gynecologic oncologist is being recognized by the public in the U.S.A. Treatment approaches to cervical cancer, endometrial cancer and ovarian cancer in the U.S.A., which are different from ours, are also briefly described.
Tsukamoto
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National Kyushu Cancer Center, Fukuoka, Japan.
D000970:Antineoplastic Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005260:Female; D006176:Gynecology / Q000193:education / Q000458:organization & administration*; D006801:Humans; D007564:Japan; D008403:Mass Screening; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000517:prevention & control; D010819:Physician's Role; D010818:Practice Patterns, Physicians'; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000517:prevention & control; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000517:prevention & control