Publications by authors named "K Hillaby"
British Gynaecological Cancer Society (BGCS) vulval cancer guidelines: Recommendations for practice.
Eur J Obstet Gynecol Reprod Biol
September 2020
The purpose of this guideline is to collate evidence and propose evidence-based guidelines for the diagnosis and management of adult patients with vulva carcinoma treated in the UK. Malignant melanoma may present via similar routes and will be discussed. The reader is referred to the Ano-uro-genital Mucosal Melanoma Full Guideline [1] for more detailed recommendations.
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- Vulval lichen sclerosus (LS) is an inflammatory condition that can increase the risk of vulval cancer, requiring accurate diagnosis which can sometimes necessitate biopsies.
- Raman spectroscopy shows promise as a non-invasive diagnostic tool that could help distinguish LS from other vulval issues in real-time, potentially minimizing the need for biopsies.
- In a study with 27 women, Raman spectroscopy demonstrated a diagnostic accuracy with 91% sensitivity and 80% specificity for identifying LS, suggesting it may be effective for clinical use pending further research.
Objective: To explore the impact of risk-adjustment on surgical complication rates (CRs) for benchmarking gynaecological oncology centres.
Design: Prospective cohort study.
Setting: Ten UK accredited gynaecological oncology centres.
Background: There are limited data on surgical outcomes in gynaecological oncology. We report on predictors of complications in a multicentre prospective study.
Methods: Data on surgical procedures and resulting complications were contemporaneously recorded on consented patients in 10 participating UK gynaecological cancer centres.