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A GCIG international survey: clinical practice patterns of sentinel lymph node biopsies in cervical cancer.
Vercellino, G F; Erdemoglu, E; Lichtenberg, P; Muallem, M Z; Richter, R; Abu-Rustum, N R; Plante, M; Lécuru, F; Greggi, S; Monk, B J; Sagae, S; Denkert, C; Keller, M; Alhakeem, M; Hellriegel, M; Dückelmann, A M; Chiantera, V; Sehouli, Jalid.
Afiliación
  • Vercellino GF; Department of Gynecology With Center for Oncological Surgery, Charité Universtitätmedizin, Charité Platz 1, 10117, Berlin, Germany. enonloso1@hotmail.com.
  • Erdemoglu E; UMG Universität Medizin Göttingen, 37075, Göttingen, Germany. enonloso1@hotmail.com.
  • Lichtenberg P; Department of Gynecologic Oncology, Suleyman Demirel University, Isparta, Turkey.
  • Muallem MZ; Department of Gynecology With Center for Oncological Surgery, Charité Universtitätmedizin, Charité Platz 1, 10117, Berlin, Germany.
  • Richter R; Department of Gynecology With Center for Oncological Surgery, Charité Universtitätmedizin, Charité Platz 1, 10117, Berlin, Germany.
  • Abu-Rustum NR; Department of Gynecology With Center for Oncological Surgery, Charité Universtitätmedizin, Charité Platz 1, 10117, Berlin, Germany.
  • Plante M; Gynecology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Lécuru F; Division of Gynecologic Oncology, Centre Hospitalier Universitaire de Laval Québec, Quebec, Canada.
  • Greggi S; Department of Gynecologic Oncologic and Breast Surgery, Hôpital Européen Georges Pompidou (HEGP), Paris, France.
  • Monk BJ; Université Paris Descartes, Paris, France.
  • Sagae S; Gynecologic Oncology, Istituto Nazionale per lo Studio e la Cura dei Tumori di Napoli, Naples, Italy.
  • Denkert C; University of Arizona Cancer Center-Phoenix, Creighton University School of Medicine at St Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
  • Keller M; Department of Gynecologic Oncology, Sapporo West Kojinkai Clinic, Sapporo, Japan.
  • Alhakeem M; Department of Pathology, Charité Universtitätmedizin, Berlin, Germany.
  • Hellriegel M; Department of Gynecology With Center for Oncological Surgery, Charité Universtitätmedizin, Charité Platz 1, 10117, Berlin, Germany.
  • Dückelmann AM; Department of Gynecology With Center for Oncological Surgery, Charité Universtitätmedizin, Charité Platz 1, 10117, Berlin, Germany.
  • Chiantera V; Obstetrics and Gynaecology Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
  • Sehouli J; Clinic for Obstetrics and Gynecology, UMG Universitätmedizin, Göttingen, Germany.
Arch Gynecol Obstet ; 300(1): 191-199, 2019 07.
Article en En | MEDLINE | ID: mdl-31006839
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 111 (69%) were gynecologic oncologists. One hundred and fifty-two (97%) performed lymphadenectomy (LNE) and 147 (94%) did so systematically; 97 (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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Cuello Uterino / Biopsia del Ganglio Linfático Centinela Tipo de estudio: Guideline / Observational_studies / Qualitative_research Límite: Female / Humans / Middle aged Idioma: En Revista: Arch Gynecol Obstet Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2019 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Cuello Uterino / Biopsia del Ganglio Linfático Centinela Tipo de estudio: Guideline / Observational_studies / Qualitative_research Límite: Female / Humans / Middle aged Idioma: En Revista: Arch Gynecol Obstet Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2019 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania