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[Guidelines for surgical management of gynaecological cancer during pandemic COVID-19 period - FRANCOGYN group for the CNGOF]. / Prise en charge chirurgicale des cancers gynécologiques en période de pandémie COVID-19 ­ Recommandations du Groupe FRANCOGYN pour le CNGOF.
Akladios, C; Azais, H; Ballester, M; Bendifallah, S; Bolze, P-A; 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.
  • Akladios C; Service de gynécologie, CHU de Hautepierre, 67000 Strasbourg, France.
  • Azais H; Service de gynécologie, hôpital la Pitié-Salpêtrière, 75013 Paris, France.
  • Ballester M; Service de gynécologie, Dioconessess Croix Saint Simon, 75012 Paris, France.
  • Bendifallah S; Service de gynécologie obstétrique, hôpital Tenon, 75020 Paris, France.
  • Bolze PA; Service de gynécologie obstétrique, CHU Lyon Sud, 69000 Lyon, France.
  • Bourdel N; Service de gynécologie obstétrique, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.
  • Bricou A; Service de gynécologie, Dioconessess Croix Saint Simon, 75012 Paris, France.
  • Canlorbe G; Service de gynécologie, hôpital la Pitié-Salpêtrière, 75013 Paris, France.
  • Carcopino X; Service de gyécologie, La Timone, 13000 Marseille, France.
  • Chauvet P; Service de gynécologie obstétrique, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.
  • Collinet P; Service de gynécologie, hôpital Jeanne de Flandres, 59000 Lille, France.
  • Coutant C; Centre de lutte contre le cancer, 21000 Dijon, France.
  • Dabi Y; Service de gynécologie obstétrique, hôpital Tenon, 75020 Paris, France.
  • Dion L; Service de gynécologie, CHU hôpital Sud, 16, boulevard de Bulgarie, 35000 Rennes, France.
  • Gauthier T; Service de gynécologie obstétrique, CHU, 87000 Limoges, France.
  • Graesslin O; Service de gynécologie obstétrique, CHU, 51000 Reims, France.
  • Huchon C; Service de gynécologie obstétrique, CHI Poissy, 78300 Poissy, France.
  • Koskas M; Service de gynécologie obstétrique, hôpital Bichat, 75018 Paris, France.
  • Kridelka F; Service de chirurgie oncologique, CHU, Liège, Belgique.
  • Lavoue V; Service de gynécologie, CHU hôpital Sud, 16, boulevard de Bulgarie, 35000 Rennes, France. Electronic address: Vincent.lavoue@gmail.com.
  • Lecointre L; Service de gynécologie obstétrique, hôpital Tenon, 75020 Paris, France.
  • Mezzadri M; Service de gynécologie, hôpital Lariboisière, 75010 Paris, France.
  • Mimoun C; Service de gynécologie, hôpital Lariboisière, 75010 Paris, France.
  • Ouldamer L; Service de gynécologie, CHU Tours, 37000 Tours, France.
  • Raimond E; Service de gynécologie obstétrique, CHU, 51000 Reims, France.
  • Touboul C; Service de chirurgie oncologique, CHU, Liège, Belgique.
Gynecol Obstet Fertil Senol ; 48(5): 444-447, 2020 05.
Article in French | MEDLINE | ID: covidwho-832614
ABSTRACT

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.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Gynecologic Surgical Procedures / Coronavirus Infections / Betacoronavirus / Genital Neoplasms, Female Type of study: Experimental Studies / Prognostic study Topics: Long Covid Limits: Female / Humans Country/Region as subject: Europa Language: French Journal: Gynecol Obstet Fertil Senol Year: 2020 Document Type: Article Affiliation country: J.gofs.2020.03.017

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Gynecologic Surgical Procedures / Coronavirus Infections / Betacoronavirus / Genital Neoplasms, Female Type of study: Experimental Studies / Prognostic study Topics: Long Covid Limits: Female / Humans Country/Region as subject: Europa Language: French Journal: Gynecol Obstet Fertil Senol Year: 2020 Document Type: Article Affiliation country: J.gofs.2020.03.017