[Occupational rehabilitation of gynecologic tumor patients. Occupational rehabilitation]

After primary treatment due to genital and breast cancer we judged with a total of three hundred and sixty three (363) working women the reintegration into their former jobs. The rate of rehabilitation amounted to 37.2 per cent. The temporary prescription of sheltered jobs--i.e. of work which corresponds with the needs of rehabilitation--was for 56.1 per cent of the women, whereas 23 per cent of the women had to take up a job other that before. In the first place the after-care covers general and gynaecological examination aiming at uncovering recurrence and second tumours and the earliest possible phase, and in the second place special attention is given to the therapy of hormonal deficiency, post treatment effects and incidental cases. The results which the team of specialists from many fields had got from group as well as individual talks are the basis for a follow-up care, mainly done by the psychologists. As a result of this a classification into some possible intervention groups. Special attention has to be given to women where there has been a family history with oncological diseases. A thoroughly coordinated and well-balanced approach to the gynaecological tumour--after-care is indispensable, i.e. it has to integrate firmly the occupational rehabilitation and to bear in mind never to ask too much of the patient.