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

doi:10.1016/j.bulcan.2021.06.012

Surgical de-escalation in gynecologic oncology

Titre traduit de la contribution: Désescalade chirurgicale en oncologie gynécologique

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

Résultats de recherche: Contribution à un journal › Article 'review' › Revue par des pairs

Résumé

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.

Titre traduit de la contribution	Désescalade chirurgicale en oncologie gynécologique
langue originale	Anglais
Pages (de - à)	1155-1161
Nombre de pages	7
journal	Bulletin du Cancer
Volume	108
Numéro de publication	12
Les DOIs	https://doi.org/10.1016/j.bulcan.2021.06.012
état	Publié - 1 déc. 2021

Accès au document

10.1016/j.bulcan.2021.06.012

Autres fichiers et liens

Lien vers la publication dans Scopus

Contient cette citation

@article{2e5c175980af436bb5861b17e53f0256,

title = "Surgical de-escalation in gynecologic oncology",

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.",

keywords = "Gynecological cancers, Lymphadenectomy, Sentinel lymph node, Surgical de-escalation",

author = "Fran{\c c}ois Zaccarini and Claire Sanson and Amandine Maulard and St{\'e}phanie Scherier and Patricia Pautier and Alexandra Leary and Catherine Genestie and Cyrus Chargari and Philippe Morice and S{\'e}bastien Gouy",

note = "Publisher Copyright: {\textcopyright} 2021 Soci{\'e}t{\'e} Fran{\c c}aise du Cancer",

year = "2021",

month = dec,

day = "1",

doi = "10.1016/j.bulcan.2021.06.012",

language = "English",

volume = "108",

pages = "1155--1161",

journal = "Bulletin du Cancer",

issn = "0007-4551",

number = "12",

}

TY - JOUR

T1 - Surgical de-escalation in gynecologic oncology

AU - Zaccarini, François

AU - Sanson, Claire

AU - Maulard, Amandine

AU - Scherier, Stéphanie

AU - Pautier, Patricia

AU - Leary, Alexandra

AU - Genestie, Catherine

AU - Chargari, Cyrus

AU - Morice, Philippe

AU - Gouy, Sébastien

PY - 2021/12/1

Y1 - 2021/12/1

N2 - 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.

AB - 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.

KW - Gynecological cancers

KW - Lymphadenectomy

KW - Sentinel lymph node

KW - Surgical de-escalation

UR - http://www.scopus.com/inward/record.url?scp=85116821552&partnerID=8YFLogxK

U2 - 10.1016/j.bulcan.2021.06.012

DO - 10.1016/j.bulcan.2021.06.012

M3 - Review article

C2 - 34629168

AN - SCOPUS:85116821552

SN - 0007-4551

VL - 108

SP - 1155

EP - 1161

JO - Bulletin du Cancer

JF - Bulletin du Cancer

IS - 12

ER -