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Recommendations for the surgical management of gynecological cancers during the COVID-19 pandemic - FRANCOGYN group for the CNGOF.

作者信息

Akladios Cherif, Azais Henri, Ballester Marcos, Bendifallah Sofiane, Bolze Pierre-Adrien, Bourdel Nicolas, Bricou Alexandre, Canlorbe Geoffroy, Carcopino Xavier, Chauvet Pauline, Collinet Pierre, Coutant Charles, Dabi Yohann, Dion Ludivine, Gauthier Tristan, Graesslin Olivier, Huchon Cyrille, Koskas Martin, Kridelka Frederic, Lavoue Vincent, Lecointre Lise, Mezzadri Matthieu, Mimoun Camille, Ouldamer Lobna, Raimond Emilie, Touboul Cyril

机构信息

Service de gynécologie, CHU de Hautepierre, 67000 Strasbourg, France.

Service de gynécologie, Hopital la Pitié Salpetriee, 75013 Paris, France.

出版信息

J Gynecol Obstet Hum Reprod. 2020 Jun;49(6):101729. doi: 10.1016/j.jogoh.2020.101729. Epub 2020 Apr 1.


DOI:10.1016/j.jogoh.2020.101729
PMID:32247066
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7118621/
Abstract

INTRODUCTION: In the context of the COVID-19 pandemic, specific recommendations are required for the management of patients with gynecologic cancer. MATERIALS AND METHOD: The FRANCOGYN group of the National College of French Gynecologists and Obstetricians (CNGOF) convened to develop recommendations based on the consensus conference model. RESULTS: If a patient with a gynecologic cancer presents with COVID-19, surgical management should be postponed for at least 15 days. For cervical cancer, radiotherapy and concomitant radiochemotherapy could replace surgery as first-line treatment and the value of lymph node staging should be reviewed on a case-by-case basis. For advanced ovarian cancers, neoadjuvant chemotherapy should be preferred over primary cytoreduction surgery. It is legitimate not to perform hyperthermic intraperitoneal chemotherapy during the COVID-19 pandemic. For patients who are scheduled to undergo interval surgery, chemotherapy can be continued and surgery performed after 6 cycles. For patients with early stage endometrial cancer of low and intermediate preoperative ESMO risk, hysterectomy with bilateral adnexectomy combined with a sentinel lymph node procedure is recommended. Surgery can be postponed for 1-2 months in low-risk endometrial cancers (FIGO Ia stage on MRI and grade 1-2 endometrioid cancer on endometrial biopsy). For patients of high ESMO risk, the MSKCC algorithm (combining PET-CT and sentinel lymph node biopsy) should be applied to avoid pelvic and lumbar-aortic lymphadenectomy. CONCLUSION: During the COVID-19 pandemic, management of a patient with cancer should be adapted to limit the risks associated with the virus without incurring loss of chance.

摘要

相似文献

[1]
Recommendations for the surgical management of gynecological cancers during the COVID-19 pandemic - FRANCOGYN group for the CNGOF.

J Gynecol Obstet Hum Reprod. 2020-6

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[2]
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[3]
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Cancer Manag Res. 2025-2-12

[4]
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[5]
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[6]
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[7]
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[9]
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[10]
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