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SEOM-GEICO子宫内膜癌临床指南(2021年)

SEOM-GEICO clinical guidelines on endometrial cancer (2021).

作者信息

Barretina-Ginesta María Pilar, Quindós María, Alarcón Jesús Damián, Esteban Carmen, Gaba Lydia, Gómez César, Fidalgo José Alejandro Pérez, Romero Ignacio, Santaballa Ana, Rubio-Pérez María Jesús

机构信息

Medical Oncology Department, Institut Català d'Oncologia (ICO), Department of Medical Sciences, Girona Biomedical Research Institute (IDIBGI). Department of Medical Sciences, Medical School University of Girona (UdG), Girona, Spain.

Medical Oncology Department, Complexo Hospitalario Universitario de A Coruña. Biomedical Research Institute (INIBIC), A Coruña, Spain.

出版信息

Clin Transl Oncol. 2022 Apr;24(4):625-634. doi: 10.1007/s12094-022-02799-7. Epub 2022 Mar 21.

DOI:10.1007/s12094-022-02799-7
PMID:35312947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8986694/
Abstract

Endometrial cancer (EC) is the second most common gynecological malignancy worldwide, the first in developed countries [Sung et al. in CA Cancer J Clin 71:209-249, 2021]. Although a majority is diagnosed at an early stage with a low risk of relapse, an important proportion of patients will relapse. Better knowledge of molecular abnormalities is crucial to identify high-risk groups in early stages as well as for recurrent or metastatic disease for whom adjuvant treatment must be personalized. The objective of this guide is to summarize the current evidence for the diagnosis, treatment, and follow-up of EC, and to provide evidence-based recommendations for clinical practice.

摘要

子宫内膜癌(EC)是全球第二常见的妇科恶性肿瘤,在发达国家则位居首位[宋等人,《CA:临床医师癌症杂志》71:209 - 249,2021年]。尽管大多数患者在早期被诊断出来,复发风险较低,但仍有相当一部分患者会复发。更好地了解分子异常对于在早期识别高危人群以及对于复发或转移性疾病(其辅助治疗必须个性化)至关重要。本指南的目的是总结目前关于子宫内膜癌诊断、治疗和随访的证据,并为临床实践提供基于证据的建议。

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本文引用的文献

1
Endometrial cancer: A society of gynecologic oncology evidence-based review and recommendations, part II.子宫内膜癌:妇科肿瘤学学会基于证据的综述和推荐,第二部分。
Gynecol Oncol. 2021 Mar;160(3):827-834. doi: 10.1016/j.ygyno.2020.12.024. Epub 2021 Jan 13.
2
ESGO/ESTRO/ESP guidelines for the management of patients with endometrial carcinoma.ESGO/ESTRO/ESP 子宫内膜癌管理指南。
Int J Gynecol Cancer. 2021 Jan;31(1):12-39. doi: 10.1136/ijgc-2020-002230. Epub 2020 Dec 18.
3
Endometrial carcinoma: molecular subtypes, precursors and the role of pathology in early diagnosis.子宫内膜癌:分子亚型、前体及病理学在早期诊断中的作用。
J Pathol. 2021 Apr;253(4):355-365. doi: 10.1002/path.5608. Epub 2021 Feb 6.
4
Uterine carcinosarcoma: Contemporary clinical summary, molecular updates, and future research opportunity.子宫癌肉瘤:当代临床总结、分子学新进展及未来研究机遇
Gynecol Oncol. 2021 Feb;160(2):586-601. doi: 10.1016/j.ygyno.2020.10.043. Epub 2020 Nov 9.
5
ACR Appropriateness Criteria® Pretreatment Evaluation and Follow-Up of Endometrial Cancer.美国放射学会适宜性标准®子宫内膜癌的预处理评估与随访
J Am Coll Radiol. 2020 Nov;17(11S):S472-S486. doi: 10.1016/j.jacr.2020.09.001.
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Carboplatin and Paclitaxel for Advanced Endometrial Cancer: Final Overall Survival and Adverse Event Analysis of a Phase III Trial (NRG Oncology/GOG0209).卡铂和紫杉醇治疗晚期子宫内膜癌:一项 III 期试验(NRG Oncology/GOG0209)的最终总生存和不良事件分析。
J Clin Oncol. 2020 Nov 20;38(33):3841-3850. doi: 10.1200/JCO.20.01076. Epub 2020 Sep 29.
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J Clin Oncol. 2020 Oct 10;38(29):3388-3397. doi: 10.1200/JCO.20.00549. Epub 2020 Aug 4.
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J Clin Oncol. 2020 Jan 1;38(1):1-10. doi: 10.1200/JCO.19.02105. Epub 2019 Nov 4.
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Clinical actionability of molecular targets in endometrial cancer.子宫内膜癌中分子靶标的临床可操作性。
Nat Rev Cancer. 2019 Sep;19(9):510-521. doi: 10.1038/s41568-019-0177-x. Epub 2019 Aug 6.