Surgical de-escalation in gynecologic oncology

François Zaccarini, Claire Sanson, Amandine Maulard, Stéphanie Scherier, Patricia Pautier, Alexandra Leary, Catherine Genestie, Cyrus Chargari, Philippe Morice, Sébastien Gouy

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    1 Citation (Scopus)

    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 contributionDésescalade chirurgicale en oncologie gynécologique
    Original languageEnglish
    Pages (from-to)1155-1161
    Number of pages7
    JournalBulletin du Cancer
    Volume108
    Issue number12
    DOIs
    Publication statusPublished - 1 Dec 2021

    Keywords

    • Gynecological cancers
    • Lymphadenectomy
    • Sentinel lymph node
    • Surgical de-escalation

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