A GCIG international survey: clinical practice patterns of sentinel lymph node biopsies in cervical cancer
| Autor: | Giuseppe Filiberto Vercellino, Nadeem R. Abu-Rustum, Bradley J. Monk, Stefano Greggi, A. M. Dückelmann, Rolf Richter, Lichtenberg P, Mustafa Zelal Muallem, Evrim Erdemoglu, Plante M, Hellriegel M, Keller M, Sagae S, Jalid Sehouli, Chiantera, Lécuru F, Carsten Denkert, Alhakeem M |
|---|---|
| Přispěvatelé: | Vercellino G.F., Erdemoglu E., Lichtenberg P., Muallem M.Z., Richter R., Abu-Rustum N.R., Plante M., Lecuru F., Greggi S., Monk B.J., Sagae S., Denkert C., Keller M., Alhakeem M., Hellriegel M., Duckelmann A.M., Chiantera V., Sehouli J. |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Sentinel lymph node Uterine Cervical Neoplasms Article 03 medical and health sciences 0302 clinical medicine Sentinel lymph node biopsy Surveys and Questionnaires Medicine Humans Prospective Studies Radical Hysterectomy Cervical cancer 030219 obstetrics & reproductive medicine business.industry General surgery International survey Obstetrics and Gynecology General Medicine Middle Aged medicine.disease Gynecological cancer Clinical Practice 030220 oncology & carcinogenesis Lymphadenectomy Female Surgical education business |
| Zdroj: | Arch Gynecol Obstet |
| Popis: | PURPOSE: To evaluate the practice patterns among centers and physicians worldwide regarding sentinel lymph node biopsies (SLNB) in cervical cancer (CC) patients. METHOD: A validated 35-item questionnaire regarding SLNB in CC supported by the Gynecologic Cancer Intergroup (GCIG), and sponsored by the North-Eastern German Society of Gynaecologic-Oncology (NOGGO) was sent to all major gynecological cancer societies across the globe for further distribution from October 2015 and continued for a period of 7 months. RESULTS: One hundred and sixty-one institutions from around the world participated. One hundred and six (66%) of the participants were from university centers and one hundred and eleven (69%) were gynecologic oncologists. One hundred and fifty-two (97%) performed lymphadenectomy (LNE), and one hundred and forty-seven (94%) did so systematically; Ninety-seven (60%) used SLNB, due to lower morbidity (73%), reliability (55%) and time-saving (27%). In cases of positive SLNB (pN+), 39% of respondents stopped the operation and sent the patient for chemoradiation (CRT), 45% completed pelvic and paraaortic LNE, whereas 26% went on to perform a radical hysterectomy (RH) and systematic pelvic and paraaortic LNE. In case of negative SLNB (pN0), 39% of institutions still performed a systematic pelvic and paraaortic LNE. CONCLUSION: In this survey worldwide SLNB adoption is an encouraging 60%, yet ample differences exist regarding strategy, and to a lower extent the techniques used. Lack of experience is the most common reason SLNB is not performed. Efforts to increase surgical education on SLNB technique and multicenter prospective trials providing evidence-based guidelines are warranted. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|