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卵巢癌手术——巴西外科肿瘤学会共识

Surgery in Ovarian Cancer-Brazilian Society of Surgical Oncology Consensus.

作者信息

Tsunoda Audrey Tieko, Dos Reis Ricardo, Moretti-Marques Renato, Baiocchi Glauco, Campbell Leonardo Martins, Rodrigues Angelica Nogueira, Fin Fabio, Andrade Carlos Eduardo Mattos da Cunha, Azevedo Bruno Roberto Braga, Reis Rosilene Jara, Batista Thales Paulo, Ribeiro Reitan, Falcao Deraldo, Guitmann Gustavo, Pessini Suzana Arenhart, Zanvettor Paulo Henrique, Nunes João Soares, Linhares José Clemente, Belotti José Augusto, Oliveira Alexandre, Pinheiro Rodrigo Nascimento

机构信息

PPGTS, Pontifícia Universidade Católica do Paraná/PUCPR, Curitiba, Paraná, Brazil.

Robotic Surgery Program and Peritoneal Diseases Center, Hospital do Coração (HCor), São Paulo, São Paulo, Brazil.

出版信息

J Surg Oncol. 2025 Sep;132(4):640-653. doi: 10.1002/jso.70055. Epub 2025 Jul 29.

Abstract

Surgical management in epithelial ovarian cancer (EOC) has a significant impact on overall survival (OS) and progression-free survival (PFS). The Brazilian Society of Surgical Oncology (BSSO) supported an expert-led task force for consensus: the best EOC surgery is provided by experienced and specialized trained surgeons in cancer centers. Laparoscopic or radiological staging can predict the possibility of complete cytoreduction (CC0) and help to reduce unnecessary laparotomies. Carcinomatosis and nodal extension should be evaluated at imaging. Multidisciplinary input is essential for determining the need for the selection of patients for surgery and adjuvant chemotherapy in patients with EOC. The BSSO proposes quality assurance criteria and the need for national consensus. Genetic counseling was deemed mandatory for all patients with EOC. This consensus states the final recommendations from BSSO for the management of EOC.

摘要

上皮性卵巢癌(EOC)的手术管理对总生存期(OS)和无进展生存期(PFS)有重大影响。巴西外科肿瘤学会(BSSO)支持由专家牵头的特别工作组达成共识:最佳的EOC手术由癌症中心经验丰富且经过专门培训的外科医生进行。腹腔镜或影像学分期可预测完全减瘤(CC0)的可能性,并有助于减少不必要的开腹手术。应在影像学检查中评估癌灶播散和淋巴结转移情况。多学科协作对于确定EOC患者手术及辅助化疗的选择需求至关重要。BSSO提出了质量保证标准以及达成全国共识的必要性。所有EOC患者均被认为必须接受遗传咨询。本共识阐述了BSSO对EOC管理的最终建议。

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