The impact of expanding gynecologic oncology care to ovarian cancer patients in small cities and rural communities.

Objective: Patients with ovarian cancer from smaller cities and rural communities face unique challenges in accessing comprehensive care. This study compares management strategies, outcomes, and access to care for patients in a small city and surrounding rural communities before and after establishing a full-time gynecologic oncology (GO) office.

Methods: A local tumor registry was used to identify patients diagnosed with ovarian cancer before and after a full-time GO office was established.

Loperamide Abuse and Its Sequelae.

Introduction: Loperamide is an opioid available over the counter and in prescription form. Loperamide functions as a μ-agonist within the enteric nervous system to slow intestinal motility. Its antidiarrheal properties and primarily peripheral activity make loperamide an important tool in the management of inflammatory bowel disease.

Cervical cancer recurrence presenting as abdominal wall mass and accompanying cellulitis.

Background: Most recurrences of early stage cervical cancer occur in the pelvis or lymphatic system. Distant metastases occur in a minority of patients. Large abdominal wall recurrence presenting as cellulitis and intra-abdominal mass is unusual and presents diagnostic as well as treatment challenges.