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10.1016/j.gofs.2020.03.017

http://scihub22266oqcxt.onion/10.1016/j.gofs.2020.03.017
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32222433!7103920!32222433
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suck abstract from ncbi


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pmid32222433      Gynecol+Obstet+Fertil+Senol 2020 ; 48 (5): 444-447
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  • Prise en charge chirurgicale des cancers gynecologiques en periode de pandemie COVID-19 - Recommandations du Groupe FRANCOGYN pour le CNGOF #MMPMID32222433
  • Akladios C; Azais H; Ballester M; Bendifallah S; Bolze PA; Bourdel N; Bricou A; Canlorbe G; Carcopino X; Chauvet P; Collinet P; Coutant C; Dabi Y; Dion L; Gauthier T; Graesslin O; Huchon C; Koskas M; Kridelka F; Lavoue V; Lecointre L; Mezzadri M; Mimoun C; Ouldamer L; Raimond E; Touboul C
  • Gynecol Obstet Fertil Senol 2020[May]; 48 (5): 444-447 PMID32222433show ga
  • INTRODUCTION: Recommendations for the management of patients with gynecological cancer during the COVID-19 pandemic period. MATERIAL AND METHOD: Recommendations based on the consensus conference model. RESULTS: In the case of a COVID-19 positive patient, surgical management should be postponed for at least 15 days. For cervical cancer, the place of surgery must be re-evaluated in relation to radiotherapy and Radio-Chemotherapy-Concomitant and the value of lymph node staging surgeries must be reviewed on a case-by-case basis. For advanced ovarian cancers, neo-adjuvant chemotherapy should be favored even if primary cytoreduction surgery could be envisaged. It is lawful not to offer hyperthermic intraperitoneal chemotherapy during a COVID-19 pandemic. In the case of patients who must undergo interval surgery, it is possible to continue the chemotherapy and to offer surgery after 6 cycles of chemotherapy. For early stage endometrial cancer, in case of low and intermediate preoperative ESMO risk, hysterectomy with bilateral annexectomy associated with a sentinel lymph node procedure should be favored. It is possible to consider postponing surgery 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 high ESMO risk, it ispossible to favor the MSKCC algorithm (combining PET-CT and sentinel lymph node biopsy) in order to omit pelvic and lumbar-aortic lymphadenectomies. CONCLUSION: During COVID-19 pandemic, patients suffering from cancer should not lose life chance, while limiting the risks associated with the virus.
  • |*Betacoronavirus[MESH]
  • |*Gynecologic Surgical Procedures/adverse effects[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*complications/transmission[MESH]
  • |Cytoreduction Surgical Procedures[MESH]
  • |Female[MESH]
  • |France[MESH]
  • |Genital Neoplasms, Female/complications/*surgery[MESH]
  • |Humans[MESH]
  • |Minimally Invasive Surgical Procedures[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*complications/transmission[MESH]
  • |Practice Guidelines as Topic[MESH]
  • |SARS-CoV-2[MESH]


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