Management of Endometrial Cancer: A Comparative Review of Guidelines.

Cancers (Basel)

Third Department of Obstetrics and Gynaecology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Konstantinoupoleos 49, 54642 Thessaloniki, Greece.

Published: October 2024

AI Article Synopsis

  • Endometrial cancer is the most common gynecological cancer, and a study compared recent management guidelines from various major oncology societies.
  • Key findings showed both similarities and differences in surgical procedures, particularly relating to endometrial biopsy and lymph node involvement.
  • The study suggests that creating consistent international protocols could improve classification, surgical methods, risk assessment, and patient monitoring post-remission.

Article Abstract

Endometrial cancer is the most frequently diagnosed gynecological cancer. The aim of this study was to summarize and compare the most recent guidelines regarding its management. A comparative review of guidelines from the European Society of Gynecological Oncology, the European Society for Radiotherapy and Oncology, the European Society of Pathology, the European Society for Medical Oncology, the Cancer Council of Australia, the British Gynecological Cancer Society, the National Comprehensive Cancer Network, and the American College of Obstetricians and Gynecologists was carried out. The comparison of guidelines highlighted common recommendations and key differences regarding the most basic aspects of endometrial cancer management. Certain differences were identified in the options of surgical procedures based on endometrial biopsy and lymph node infiltration. Minor differences were identified in the management of recurrent disease, while the more pronounced differences were found in the follow-up procedure. The development of consistent international protocols in similar resource settings may lead to a more consistent classification, as well as to common lines regarding surgical approaches, risk stratification and the way patients should be monitored following the remission of endometrial cancer.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545286PMC
http://dx.doi.org/10.3390/cancers16213582DOI Listing

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