Abstract
The evolution of knowledge in gynecologic oncology is leading to surgical de-escalation in several areas, particularly in lymph node staging. Sentinel lymph node biopsy that was initially used in low and intermediate risk endometrial cancer, has now been extended to high-intermediate and high-risk endometrial cancer. Sentinel lymph node biopsy plays also an important role in the nodal staging of early-stage cervical cancer. The radicality of hysterectomies in patients with early cervical cancer is under debate. Similarly, surgical staging with para-aortic lymphadenectomy in locally advanced cervical cancer should be performed only for few cases. Systematic pelvic and para-aortic lymphadenectomy in patients with advanced ovarian cancers is not recommended anymore.
Translated title of the contribution | Désescalade chirurgicale en oncologie gynécologique |
---|---|
Original language | English |
Pages (from-to) | 1155-1161 |
Number of pages | 7 |
Journal | Bulletin du Cancer |
Volume | 108 |
Issue number | 12 |
DOIs | |
Publication status | Published - 1 Dec 2021 |
Keywords
- Gynecological cancers
- Lymphadenectomy
- Sentinel lymph node
- Surgical de-escalation