,
,Berek & Hacker’s
Gynecologic Oncology
Seventh Edition
Jonathan S. Berek, MD, MMS
Laurie Kraus Lacob Professor
Director, Stanford Women’s Cancer Center
Senior Advisor, Stanford Cancer Institute
Stanford University School of Medicine
Stanford University
Stanford, California
Neville F. Hacker, AM, MD
Professor of Gynaecological Oncology
Conjoint, University of New South Wales
Former Director, Gynaecological Cancer Centre
Royal Hospital for Women
Sydney, Australia
Illustrations and Design by
Deborah Berek, MA
Tim Hengst, CMI, FAMI
, Acquisitions Editor: Chris Teja
Development Editor: Thomas Celona
Editorial Coordinator: Chester Anthony Gonzalez
Editorial Assistant: Brian Convery
Marketing Manager: Phyllis Hitner
Production Project Manager: Bridgett Dougherty
Design Coordinator: Holly McLaughlin
Manufacturing Coordinator: Beth Welsh
Prepress Vendor: Aptara, Inc.
7th edition
Copyright © 2021 Wolters Kluwer.
Copyright © 2010 Wolters Kluwer Health/Lippincott Williams & Wilkins. Copyright
© 2008 Lippincott Williams & Wilkins, a Wolters Kluwer business. Copyright ©
2004, 2000 by Lippincott Williams & Wilkins. Copyright © 1996 by Lippincott-
Raven Publishers. Copyright © 1992, 1988, 1984, 1980, 1975, 1970, 1964 by J. B.
Lippincott Company. All rights reserved. This book is protected by copyright. No
part of this book may be reproduced or transmitted in any form or by any means,
including as photocopies or scanned-in or other electronic copies, or utilized by
any information storage and retrieval system without written permission from the
copyright owner, except for brief quotations embodied in critical articles and
reviews. Materials appearing in this book prepared by individuals as part of their
official duties as U.S. government employees are not covered by the above-
mentioned copyright. To request permission, please contact Wolters Kluwer at Two
Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at
, or via our website at shop.lww.com (products and
services).
9 8 7 6 5 4 3 2 1
Printed in China
978-1-9751-4264-3
Library of Congress Cataloging-in-Publication Data available upon request
Library of Congress Control Number: 2020904480
This work is provided “as is,” and the publisher disclaims any and all warranties,
express or implied, including any warranties as to accuracy, comprehensiveness,
or currency of the content of this work.
This work is no substitute for individual patient assessment based upon
healthcare professionals’ examination of each patient and consideration of, among
other things, age, weight, gender, current or prior medical conditions, medication
,Berek & Hacker’s
Gynecologic Oncology
Seventh Edition
Jonathan S. Berek, MD, MMS
Laurie Kraus Lacob Professor
Director, Stanford Women’s Cancer Center
Senior Advisor, Stanford Cancer Institute
Stanford University School of Medicine
Stanford University
Stanford, California
Neville F. Hacker, AM, MD
Professor of Gynaecological Oncology
Conjoint, University of New South Wales
Former Director, Gynaecological Cancer Centre
Royal Hospital for Women
Sydney, Australia
Illustrations and Design by
Deborah Berek, MA
Tim Hengst, CMI, FAMI
, Acquisitions Editor: Chris Teja
Development Editor: Thomas Celona
Editorial Coordinator: Chester Anthony Gonzalez
Editorial Assistant: Brian Convery
Marketing Manager: Phyllis Hitner
Production Project Manager: Bridgett Dougherty
Design Coordinator: Holly McLaughlin
Manufacturing Coordinator: Beth Welsh
Prepress Vendor: Aptara, Inc.
7th edition
Copyright © 2021 Wolters Kluwer.
Copyright © 2010 Wolters Kluwer Health/Lippincott Williams & Wilkins. Copyright
© 2008 Lippincott Williams & Wilkins, a Wolters Kluwer business. Copyright ©
2004, 2000 by Lippincott Williams & Wilkins. Copyright © 1996 by Lippincott-
Raven Publishers. Copyright © 1992, 1988, 1984, 1980, 1975, 1970, 1964 by J. B.
Lippincott Company. All rights reserved. This book is protected by copyright. No
part of this book may be reproduced or transmitted in any form or by any means,
including as photocopies or scanned-in or other electronic copies, or utilized by
any information storage and retrieval system without written permission from the
copyright owner, except for brief quotations embodied in critical articles and
reviews. Materials appearing in this book prepared by individuals as part of their
official duties as U.S. government employees are not covered by the above-
mentioned copyright. To request permission, please contact Wolters Kluwer at Two
Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at
, or via our website at shop.lww.com (products and
services).
9 8 7 6 5 4 3 2 1
Printed in China
978-1-9751-4264-3
Library of Congress Cataloging-in-Publication Data available upon request
Library of Congress Control Number: 2020904480
This work is provided “as is,” and the publisher disclaims any and all warranties,
express or implied, including any warranties as to accuracy, comprehensiveness,
or currency of the content of this work.
This work is no substitute for individual patient assessment based upon
healthcare professionals’ examination of each patient and consideration of, among
other things, age, weight, gender, current or prior medical conditions, medication
