Recommendations for the surgical management of gynecological cancers during the COVID-19 pandemic - FRANCOGYN group for the CNGOF

  1. Akladios, Cherif
  2. Azais, Henri
  3. Ballester, Marcos
  4. Bendifallah, Sofiane
  5. Bolze, Pierre-Adrien
  6. Bourdel, Nicolas
  7. Bricou, Alexandre
  8. Canlorbe, Geoffroy
  9. Carcopino, Xavier
  10. Chauvet, Pauline
  11. Collinet, Pierre
  12. Coutant, Charles
  13. Dabi, Yohann
  14. Dion, Ludivine
  15. Gauthier, Tristan
  16. Graesslin, Olivier
  17. Huchon, Cyrille
  18. Koskas, Martin
  19. Kridelka, Frederic
  20. Lavoue, Vincent
  21. Lecointre, Lise
  22. Mezzadri, Matthieu
  23. Mimoun, Camille
  24. Ouldamer, Lobna
  25. Raimond, Emilie
  26. Touboul, Cyril

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WeightNameValue
1000 Titel
  • Recommendations for the surgical management of gynecological cancers during the COVID-19 pandemic - FRANCOGYN group for the CNGOF
1000 Autor/in
  1. Akladios, Cherif |
  2. Azais, Henri |
  3. Ballester, Marcos |
  4. Bendifallah, Sofiane |
  5. Bolze, Pierre-Adrien |
  6. Bourdel, Nicolas |
  7. Bricou, Alexandre |
  8. Canlorbe, Geoffroy |
  9. Carcopino, Xavier |
  10. Chauvet, Pauline |
  11. Collinet, Pierre |
  12. Coutant, Charles |
  13. Dabi, Yohann |
  14. Dion, Ludivine |
  15. Gauthier, Tristan |
  16. Graesslin, Olivier |
  17. Huchon, Cyrille |
  18. Koskas, Martin |
  19. Kridelka, Frederic |
  20. Lavoue, Vincent |
  21. Lecointre, Lise |
  22. Mezzadri, Matthieu |
  23. Mimoun, Camille |
  24. Ouldamer, Lobna |
  25. Raimond, Emilie |
  26. Touboul, Cyril |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-04-01
1000 Erschienen in
1000 Quellenangabe
  • 49(6):101729
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1016/j.jogoh.2020.101729 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118621/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • INTRODUCTION: In the context of the COVID-19 pandemic, specific recommendations are required for the management of patients with gynecologic cancer. MATERIALS AND METHOD: The FRANCOGYN group of the National College of French Gynecologists and Obstetricians (CNGOF) convened to develop recommendations based on the consensus conference model. RESULTS: If a patient with a gynecologic cancer presents with COVID-19, surgical management should be postponed for at least 15 days. For cervical cancer, radiotherapy and concomitant radiochemotherapy could replace surgery as first-line treatment and the value of lymph node staging should be reviewed on a case-by-case basis. For advanced ovarian cancers, neoadjuvant chemotherapy should be preferred over primary cytoreduction surgery. It is legitimate not to perform hyperthermic intraperitoneal chemotherapy during the COVID-19 pandemic. For patients who are scheduled to undergo interval surgery, chemotherapy can be continued and surgery performed after 6 cycles. For patients with early stage endometrial cancer of low and intermediate preoperative ESMO risk, hysterectomy with bilateral adnexectomy combined with a sentinel lymph node procedure is recommended. Surgery can be postponed for 1 to 2 months in low-risk endometrial cancers (FIGO Ia stage on MRI and grade 1-2 endometrioid cancer on endometrial biopsy). For patients of high ESMO risk, the MSKCC algorithm (combining PET-CT and sentinel lymph node biopsy) should be applied to avoid pelvic and lumbar-aortic lymphadenectomy. CONCLUSION: During the COVID-19 pandemic, management of a patient with cancer should be adapted to limit the risks associated with the virus without incurring loss of chance.
1000 Sacherschließung
gnd 1206347392 COVID-19
lokal Introduction
lokal Guideline
lokal Management
lokal Gynaecological cancer
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