[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.
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 ANDMETHOD:
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.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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