Brazilian Society of Surgical Oncology consensus on fertility‐sparing surgery for cervical cancer-Reference-Cited by-同舟云学术

Brazilian Society of Surgical Oncology consensus on fertility‐sparing surgery for cervical cancer

Published:2022-06-11 Issue:1 Volume:126 Page:37-47
ISSN:0022-4790
Container-title:Journal of Surgical Oncology
language:en
Short-container-title:Journal of Surgical Oncology

Author:

Baiocchi Glauco¹^ORCID,Tsunoda Audrey Tieko²,Guitmann Gustavo³,Vieira Marcelo Andrade⁴,Zanvettor Paulo Henrique⁵,Silvestre Janiceli Blanca Carlotto Hablich⁶,Santos Marcelo Henrique⁷,Sacramento Raquel de Maria Maués⁸,de Araujo Eliel Oliveira⁹,Lopes Roberto Heleno⁹,Falcao Deraldo⁵,Lopes Andre¹⁰,Schmidt Ronaldo⁷,Lyra Jorge Soares¹¹,Almeida Herbert Ives Barretto¹²,Casteleins William Augusto¹³,Cintra Georgia Fontes¹⁴,Zanini Lucas Adalberto Geraldi¹⁵,Reis Rosilene Jara¹⁶,Coelho Eid Gonçalves¹⁷,Fin Fábio Roberto¹⁸,Rezende Viviane¹⁹,Pançan Thais Dvulatk Marques⁶,Vieira Sabas Carlos²⁰,Silva Jeancarllo Sousa²¹,de Andrade Manoel Rodrigues²²,Carneiro Vandre Cabral Gomes²³^ORCID,Foiato Tariane Friedrich²⁴,Ritt Guilherme Fonteles²⁵,Ianaze Gustavo Castro²⁶,Moretti‐Marques Renato²⁷,Andrade Carlos Eduardo Mattos Cunha⁷,Maciel Luiza Freitas³,Lira Daniel Lourenço²⁸,Medeiros Gustavo Mendes²⁹,Leite Amanda Lira Santos³⁰,Cucolicchio Guilherme Oliveira³¹,Tayeh Muhamed Read Ali³²,Cruz Ricardo Pedrini³³,Guth Gustavo Ziggiatti³⁴,Leal Renato Mazon Lina Verde³⁵,Magno Valentino Antonio³⁶,Lopes Francisco Carlos Oliveira³⁷,Laporte Gustavo Andreazza¹⁶,Pupo‐Nogueira Alexandre³⁸,Barros Aldo Vieira³⁰,da Cunha Juliano Rodrigues³⁹,Pessini Suzana Arenhart³⁶,Braganca Joana Froes⁴⁰,Figueiredo Higino Felipe²⁸,Loureiro Carlos Manoel Bulcão⁴¹,Bocanegra Ronald Enrique Delgado⁴²,Affonso Renato José⁴³,Fernandes Paulo Henrique de Souza³⁹,Ribeiro Heber Salvador Castro¹^ORCID,Batista Thales Paulo⁴⁴^ORCID,Oliveira Alexandre Ferreira⁹,Ribeiro Reitan²^ORCID

Affiliation:

1. AC Camargo Cancer Center São Paulo Brazil

2. Erasto Gaertner Hospital Curitiba Brazil

3. National Cancer Institute Rio de Janeiro Brazil

4. Beneficencia Portuguesa de São Paulo São Paulo Brazil

5. Aristides Maltez Hospital Salvador Brazil

6. ISPON Ponta Grossa Brazil

7. Barretos Cancer Hospital Barretos Brazil

8. Ophir Loyola Hospital Belem Brazil

9. Juiz de Fora Federal University Juiz de Fora Brazil

10. Sao Paulo State Institute of Cancer Sao Paulo Brazil

11. Oncoradium Rede de Oncologia Imperatriz Brazil

12. Professor Edgard Santos University Hospital Salvador Brazil

13. Centro de Oncologia do Paraná Curitiba Brazil

14. Brazilian Institute of Cancer Sao Paulo Brazil

15. Hospital de Caridade Ijuí Brazil

16. Santa Casa de Porto Alegre Porto Alegre Brazil

17. São Marcos Hospital Teresina Brazil

18. Instituto Femina Curitiba Brazil

19. Brasilia University Hospital Brasilia Brazil

20. Oncocenter Teresina Brazil

21. Amazonas State University Manaus Brazil

22. IMIP Recife Brazil

23. IMIP and Pernambuco Cancer Hospital Recife Brazil

24. Centro de Oncologia de Cascavel Cascavel Brazil

25. AMO and Obras Sociais Irma Dulce Salvador Brazil

26. Alfredo Abrao Cancer Hospital Campo Grande Brazil

27. Albert Einstein Hospital São Paulo Brazil

28. Fundação Centro de Oncologia do Estado do Amazonas ‐ FCECON Manaus Brazil

29. Campo Grande Cancer Hospital Campo Grande Brazil

30. Santa Casa de Misericórdia de Maceió, Maceió Brazil

31. Santa Cada de Misericórdia de São José do Rio Preto, São José do Rio Preto Brazil

32. Hospital UNIMED Litoral, Balneário Camburiú Brazil

33. Hospital Nossa Senhora da Conceição Porto Alegre Brazil

34. Faculdade São Leopoldo Mandic, Campinas Brazil

35. Federal University of Ceara Fortaleza Brazil

36. Federal University of Rio Grande do Sul Porto Alegre Brazil

37. Londrina Cancer Hospital Londrina Brazil

38. Sirio Libanes Hospital São Paulo Brazil

39. Federal University of Uberlandia Uberlandia Brazil

40. Campinas State University Campinas Brazil

41. Sao Domingos Hospital and Aldenora Bello Hospital, São Luís Brazil

42. Santa Izabel Hospital Salvador Brazil

43. Hospital de Base de São José do Rio Preto, São José do Rio Preto Brazil

44. IMIP and Federal University of Pernambuco Recife Brazil

Abstract

AbstractObjectiveSeveral controversies remain on conservative management of cervical cancer. Our aim was to develop a consensus recommendation on important and novel topics of fertility‐sparing treatment of cervical cancer.MethodsThe consensus was sponsored by the Brazilian Society of Surgical Oncology (BSSO) from March 2020 to September 2020 and included a multidisciplinary team of 55 specialists. A total of 21 questions were addressed and they were assigned to specialists' groups that reviewed the literature and drafted preliminary recommendations. Further, the coordinators evaluated the recommendations that were classified by the level of evidence, and finally, they were voted by all participants.ResultsThe questions included controversial topics on tumor assessment, surgical treatment, and surveillance in conservative management of cervical cancer. The two topics with lower agreement rates were the role of minimally invasive approach in radical trachelectomy and parametrial preservation. Additionally, only three recommendations had <90% of agreement (fertility preservation in Stage Ib2, anti‐stenosis device, and uterine transposition).ConclusionsAs very few clinical trials have been developed in surgery for cervical cancer, most recommendations were supported by low levels of evidence. We addressed important and novel topics in conservative management of cervical cancer and our study may contribute to literature.

Publisher

Wiley

Subject

Oncology,General Medicine,Surgery

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1002/jso.26899

Reference95 articles.

1. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries;Bray F;CA,2018

2. Instituto Nacional de Câncer Brasil ‐ Estimativa dos casos novos. (2019). Accessed December 30 2021.https://www.inca.gov.br/estimativa/estado-capital/brasil#main-content

3. Characteristics and outcomes of reproductive-aged women with early-stage cervical cancer: trachelectomy vs hysterectomy

4. Radical Trachelectomy for the Treatment of Early-Stage Cervical Cancer

5. Radical trachelectomy

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