Nadim Bou Zgheib, MD
Gerard J. Oakley, MD
Dr. Gerard J. Oakley, director of the Gynecologic Oncology Division, and Dr. Nadim Bou Zgheib provide an array of services for women with cancer. Due to the variety of cancers that may affect the reproductive system, multiple treatment modalities are utilized to treat these cancers, including surgery, radiation therapy, chemotherapy and hormonal therapy. The majority of gynecologic cancers are treated with a combination of these modalities. Most often, surgery is combined with post-operative radiation therapy or chemotherapy. In some circumstances, surgery is deferred or postponed until after radiation or chemotherapy has been completed. The skill and training of a gynecologic oncologist allows him or her to assess the status of the cancer and bring the proper treatments in the proper sequence to bear.
Care of Women with Cancer
Compassionate care for women with gynecologic malignancy is available at the Edwards Comprehensive Cancer Center, located adjacent to the Marshall Medical Center and Cabell Huntington Hospital. Dr. Oakley and Dr. Bou Zgheib work closely with physicians trained in radiation therapy to coordinate care for women with cervical, endometrial, vaginal or vulvar cancer. Not all women with these cancers will need radiation therapy, but when it is indicated, it is available. In close association with the nursing staff of the Cancer Center, they manage and oversee the treatment program for women with ovarian cancers or advanced cancers at other sites, when chemotherapy is required.
It is an unfortunate fact of life that sometimes cancer treatments are not enough to control cancers, and that some women will die of their disease. Dr. Oakley and Dr. Bou Zgheib are well-versed and experienced in pain management, symptom management, palliative care and end of life issues. They work closely with Hospice Agencies from a number of counties to assist patients in maintaining their quality of life.
Care of Women Without Cancer
Gynecologic oncologists have additional training in surgical techniques and management of more involved and difficult surgical challenges. OB/GYN specialists will sometimes refer difficult or involved surgical candidates to the Division of Gynecologic Oncology, even though the patients do not have cancer. These patients present a wide variety of challenges, from concurrent medical problems, to extensive adhesions, bowel involvement, bladder difficulties, severe prolapse of the female organs, or other factors complicating surgery.
The educational role of the Division of Oncology cannot be understated. Residents of the medical school actively participate in the care of patients, assist at surgery and in the hospital, and see patients with Dr. Oakley and Dr. Bou Zgheib in the office setting. Medical students observe surgeries and assist in patient assessment in the hospital and the office. Lectures at both the medical student level and resident level are provided at regular intervals.
Appointments are available through physician referral.
For more information, call 304-399-6600 or FAX 304-399-6604