Produção Nacional
Revisado por pares
Brazilian Society of Surgical Oncology consensus on fertility‐sparing surgery for cervical cancer
2022; Wiley; Volume: 126; Issue: 1 Linguagem: Inglês
10.1002/jso.26899
ISSN1096-9098
AutoresGlauco Baiocchi, Audrey Tieko Tsunoda, Gustavo Guitmann, Marcelo A. C. Vieira, Paulo Henrique Zanvettor, Janiceli Blanca Carlotto Hablich Silvestre, Marcelo Henrique dos Santos, Raquel de Maria Maués Sacramento, Eliel Oliveira de Araújo, Roberto Heleno Lopes, D Falcao, André Lopes, Ronaldo Luís Schmidt, Jorge Soares Lyra, Herbert Ives Barretto Almeida, William Augusto Casteleins, Georgia Cintra, Lucas Adalberto Geraldi Zanini, Rosilene Jara Reis, Eid Gonçalves Coelho, Fábio Roberto Fin, Viviane Rezende, Thais Dvulatk Marques Pançan, Sabas Carlos Vieira, Jeancarllo Sousa Silva, Manoel Rodrigues de Andrade, Vandré Cabral Gomes Carneiro, Tariane Friedrich Foiato, Guilherme Fonteles Ritt, Gustavo Castro Ianaze, Renato Moretti‐Marques, Carlos Eduardo Mattos Cunha Andrade, Luiza Freitas Maciel, Daniel Lourenço Lira, Gustavo Mendes Medeiros, Amanda Lira Santos Leite, Guilherme Oliveira Cucolicchio, Muhamed Read Ali Tayeh, Ricardo Pedrini Cruz, G Guth, Renato Mazon Lina Verde Leal, Valentino Antônio Magno, Francisco Carlos Oliveira Lopes, Gustavo Andreazza Laporte, Alexandre Pupo‐Nogueira, Aldo Vieira Barros, Juliano Rodrigues da Cunha, Suzana Arenhart Pessini, Joana Fróes Bragança, Higino Felipe Figueiredo, Carlos Loureiro, Ronald Enrique Delgado Bocanegra, Renato José Affonso, Paulo Henrique de Sousa Fernandes, Héber Salvador de Castro Ribeiro, Thales Paulo Batista, Alexandre Ferreira Oliveira, Reitan Ribeiro,
Tópico(s)Gynecological conditions and treatments
ResumoSeveral 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.The 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.The 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).As 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.
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