Diagnosis, Therapy and Follow-up of Cervical Cancer. Guideline of the DGGG, DKG and DKH (S3-Level, AWMF Registry No. 032/033OL, May 2021) – Part 2 with Recommendations on Psycho-oncology, Rehabilitation, Follow-up, Recurrence, Palliative Therapy and Healthcare Facilities-Reference-Cited by-同舟云学术

Diagnosis, Therapy and Follow-up of Cervical Cancer. Guideline of the DGGG, DKG and DKH (S3-Level, AWMF Registry No. 032/033OL, May 2021) – Part 2 with Recommendations on Psycho-oncology, Rehabilitation, Follow-up, Recurrence, Palliative Therapy and Healthcare Facilities

Published:2022-02 Issue:02 Volume:82 Page:181-205
ISSN:0016-5751
Container-title:Geburtshilfe und Frauenheilkunde
language:de
Short-container-title:Geburtshilfe Frauenheilkd

Author:

Fehm Tanja¹,Stübs Frederik A.²,Koch Martin C.²,Mallmann Peter³,Dannecker Christian⁴,Dietl Anna²,Sevnina Anna²,Mergel Franziska²,Lotz Laura²,Ehret Anne¹,Gantert Daniel¹,Martignoni Franca¹,Cieslik Jan-Philipp¹,Menke Jan⁵,Ortmann Olaf⁶,Stromberger Carmen⁷,Oechsle Karin⁸,Hornemann Beate⁹,Mumm Friederike¹⁰,Grimm Christoph¹¹,Sturdza Alina¹²,Wight Edward¹³,Loessl Kristina¹⁴,Golatta Michael¹⁵,Hagen Volker¹⁶,Dauelsberg Timm¹⁷,Diel Ingo¹⁸,Münstedt Karsten¹⁹,Merz Eberhard²⁰,Vordermark Dirk²¹,Lindel Katja²²,Wittekind Christian²³,Küppers Volkmar²⁴,Lellé Ralph²⁵,Neis Klaus²⁶,Griesser Henrik²⁷,Pöschel Birgit²⁸,Steiner Manfred²⁹,Freitag Ulrich³⁰,Gilster Tobias³¹,Schmittel Alexander³²,Friedrich Michael³³,Haase Heidemarie³⁴,Gebhardt Marion³⁴,Kiesel Ludwig²⁵,Reinhardt Michael³⁵,Kreißl Michael³⁶,Kloke Marianne³⁷,Horn Lars-Christian²³,Wiedemann Regina³⁸,Marnitz Simone³⁹,Letsch Anne⁴⁰,Zraik Isabella⁴¹,Mangold Bernhard⁴²,Möckel Jochen⁴³,Alt Céline⁴⁴,Wimberger Pauline⁴⁵,Hillemanns Peter⁴⁶,Paradies Kerstin⁴⁷,Mustea Alexander⁴⁸,Denschlag Dominik⁴⁹,Henscher Ulla⁴⁹,Tholen Reina⁵⁰,Wesselmann Simone⁵¹,Beckmann Matthias W.²,

Affiliation:

1. Universitätsklinikum Düsseldorf, Düsseldorf, Germany

2. Universitätsklinikum Erlangen, Frauenklinik, Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany

3. Universitätsklinikum Köln, Frauenklinik, Köln, Germany

4. Universitätsklinikum Augsburg, Frauenklinik, Augsburg, Germany

5. SHG-Kliniken Völklingen, Klinik für Radiologie, Völklingen, Germany

6. Arbeitsgemeinschaft Deutscher Tumorzentren, Germany

7. Charité – Universitätsmedizin Berlin, Klinik für Radioonkologie und Strahlentherapie, Berlin, Germany

8. Universitätsklinikum Hamburg-Eppendorf, II. Medizinische Klinik und Poliklinik, Hamburg, Germany

9. Universitätsklinikum Dresden, Psychoonkologischer Dienst, Dresden, Germany

10. Medizinische Klinik und Poliklinik III und Comprehensive Cancer Center (CCC München LMU), Klinikum der Universität München, LMU München, München, Germany

11. Abteilung für allgemeine Gynäkologie und gynäkologische Onkologie, Gynecologic Cancer Unit, Comprehensive Cancer Center, Medizinische Universität Wien, Wien, Austria

12. Universitätsklinikum AKH-Wien, Klinik für Radioonkologie, Wien, Austria

13. Universitätsspital Basel, Frauenklinik, Basel, Switzerland

14. Universitätsklinik Bern, Klinik für Radio-Onkologie, Bern, Switzerland

15. Universitätsklinikum Heidelberg, Frauenklinik, Heidelberg, Germany

16. St. Johannes Hospital Dortmund, Klinik für Innere Medizin II, Dortmund, Germany

17. Universitätsklinikum Freiburg, Klinik für Onkologische Rehabilitation, Freiburg, Germany

18. Praxisklinik am Rosengarten, Mannheim, Germany

19. Klinikum Ortenau, Frauenklinik, Ortenau, Germany

20. Zentrum für Ultraschalldiagnostik und Pränatalmedizin Frankfurt, Frankfurt am Main, Germany

21. Universitätsklinikum Halle (Saale), Klinik für Strahlentherapie, Halle (Saale), Germany

22. Städtisches Klinikum Karlsruhe, Klinik für Radioonkologie und Strahlentherapie, Karlsruhe, Germany

23. Universitätsklinikum Leipzig, Institut für Pathologie, Leipzig, Germany

24. Frauenarztpraxis, Zytologisches Labor, Düsseldorf, Germany

25. Universitätsklinikum Münster, Frauenklinik, Münster, Germany

26. Frauenärzte am Staden, Saarbrücken, Germany

27. Labor Dr. Wisplinghoff, Köln, Germany

28. Praxis für Zytodiagnostik, Cölpin, Germany

29. Frauenarztpraxis, Ihringen, Germany

30. Frauenarztpraxis, Wismar, Germany

31. Frauenärzte am Stadtpark, Nürnberg, Germany

32. Onkologie Seestrasse, Praxis für Onkologie, Berlin, Germany

33. Helios Klinikum Krefeld, Frauenklinik, Krefeld, Germany

34. Bundesverband Frauenselbsthilfe nach Krebs, Germany

35. Pius Hospital Oldenburg, Klinik für Nuklearmedizin, Oldenburg, Germany

36. Universitätsklinikum Magdeburg, Klinik für Radiologie und Nuklearmedizin, Magdeburg, Germany

37. Kliniken Essen-Mitte, Klinik für Palliativmedizin, Essen, Germany

38. Fliedner Fachhochschule Düsseldorf, Pflegewissenschaft, Düsseldorf, Germany

39. Universitätsklinikum Köln, Klinik für Radioonkologie, Cyberknife- und Strahlentherapie, Köln, Germany

40. Universitätsklinikum Schleswig-Holstein, Klinik für Innere Medizin II, Kiel, Germany

41. Kliniken Essen-Mitte, Klinik für Urologie, Essen, Germany

42. ZytoLabor Ludwigsburg, Ludwigsburg, Germany

43. Labor Schneider, Freiburg im Breisgau, Germany

44. Wolfgarten Radiologie Bonn, Bonn, Germany

45. Department of Gynecology and Obstetrics, Technische Universität Dresden and National Center for Tumor Diseases (NCT/UCC), Dresden, Germany

46. Medizinische Hochschule Hannover, Frauenklinik, Hannover, Germany

47. Konferenz onkologischer Kranken- und Kinderkrankenpflege (KOK), Germany

48. Universitätsklinikum Bonn, Frauenklinik, Bonn, Germany

49. Hochtaunus Kliniken, Frauenklinik, Bad Homburg, Germany

50. Deutscher Verband für Physiotherapie (ZVK) e. V., Germany

51. Deutsche Krebsgesellschaft e. V., Berlin, Germany

Abstract

Abstract Aim This is an update of the interdisciplinary S3-guideline on the Diagnosis, Therapy and Follow-up of Cervical Cancer (AWMF Registry No. 032/033OL), published in March 2021. The work on the updated guideline was funded by German Cancer Aid (Deutsche Krebshilfe) as part of the German Guideline Program in Oncology. The guideline was coordinated by the German Society of Gynecology and Obstetrics (Deutsche Gesellschaft für Gynäkologie und Geburtshilfe, DGGG) and the Working Group on Gynecological Oncology (Arbeitsgemeinschaft Gynäkologische Onkologie, AGO) of the German Cancer Society (Deutsche Krebsgesellschaft, DKG). Method The process used to update the 2014 S3-guideline was based on an appraisal of the available evidence using the criteria of evidence-based medicine, adaptations of existing evidence-based national and international guidelines or – if evidence was lacking – on the consensus of the specialists involved in compiling the update. After an initial review of the current literature was carried out according to a prescribed algorithm, several areas were identified which, in contrast to the predecessor version from September 2014, required new recommendations or statements which would take account of more recently published literature and the recent appraisal of new evidence. Recommendations The short version of this guideline consists of recommendations and statements on palliative therapy and follow-up of patients with cervical cancer. The most important aspects included in this updated guideline are the new FIGO classification published in 2018, the radical open surgery approach used to treat cervical cancer up to FIGO stage IB1, and the use of the sentinel lymph node technique for tumors ≤ 2 cm. Other changes include the use of PET-CT, new options in radiotherapy (e.g., intensity-modulated radiotherapy, image-guided adaptive brachytherapy), and drug therapies to treat recurrence or metastasis.

Publisher

Georg Thieme Verlag KG

Subject

Maternity and Midwifery,Obstetrics and Gynecology

Link

http://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-1671-2446.pdf

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