ABSTRACT
For the purpose of this summary, gynecological cancers can be considered in relation to four main anatomical sites, the vulva, cervix, uterus, and ovary. Cancers of the fallopian tube and primary peritoneal cancers are best regarded, for the purposes of clinical management, as variants of ovarian cancer. Primary cancers of the vagina, which are very uncommon, are broadly treated like cervical cancers when they arise in the upper two-thirds of the vagina, or like vulval cancers arising in the lower third. Gestational trophoblastic neoplasia, although important, is exceedingly rare in Europe, and is not considered further in this review.
