Management of Leimyosarcoma: A Survey Among Members of the Korean Gynecologic Oncology Group.

Int J Gynecol Cancer

*Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Republic of Korea; †Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center, and ‡Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea; §Department of Obstetrics and Gynecology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Republic of Korea; and ∥Department of Obstetrics and Gynecology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences, Seoul, Republic of Korea.

Published: November 2017

Objective: This study aimed to investigate current clinical management of leiomyosarcoma (LMS) in Korea.

Materials And Methods: We conducted a Web-based survey among members of the Korean Gynecologic Oncology Group regarding their treatment of LMS.

Results: In total, 77 (27.8%) of 277 members responded to the survey. For surgical treatment of stage I LMS, 26.8% indicated total hysterectomy only and 16.9% indicated total hysterectomy with bilateral salpingo-oophorectomy. Also, lymph node dissection was indicated by 54.9% of respondents, whereas 46.5% stated that bilateral salpingo-oophorectomy could be omitted in young patients. More than half (57.7%) of the respondents recommended against adjuvant treatment. For stage I LMS diagnosed after morcellation, 79.2% of the respondents recommended lymph node dissection and 56.4% recommended adjuvant therapy. As for advanced-stage LMS, in cases of complete resection, adjuvant chemotherapy was preferred by 63.1%. For incomplete resection, combined radiotherapy/chemotherapy was the most preferred adjuvant therapy (63.1%).

Conclusions: Among Korean Gynecologic Oncology Group members, there are many discrepancies in the clinical management of LMS. A large-scale prospective study to establish treatment guidelines is needed.

Download full-text PDF

Source
http://dx.doi.org/10.1097/IGC.0000000000001104DOI Listing

Publication Analysis

Top Keywords

korean gynecologic
12
gynecologic oncology
12
oncology group
12
survey members
8
members korean
8
clinical management
8
treatment stage
8
stage lms
8
indicated total
8
total hysterectomy
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!