Management of epithelial cancer of the ovary, fallopian tube, and primary peritoneum. Long text of the Joint French Clinical Practice Guidelines issued by FRANCOGYN, CNGOF, SFOG, and GINECO-ARCAGY, and endorsed by INCa. Part 1: Diagnostic exploration and staging, surgery, perioperative care, and pathology

被引：31

作者：

Lavoue, V ^{[1
,2
]}

Huchon, C. ^{[3
]}

Akladios, C. ^{[4
]}

Alfonsi, P. ^{[5
]}

Bakrin, N. ^{[6
]}

Ballester, M. ^{[7
]}

Bendifallah, S. ^{[8
]}

Bolze, P. A. ^{[9
]}

Bonnet, F. ^{[10
]}

Bourgin, C. ^{[11
]}

Chabbert-Buffet, N. ^{[8
]}

Collinet, P. ^{[11
]}

Courbiere, B. ^{[12
,13
]}

Rouge, T. De la Motte ^{[14
]}

Devouassoux-Shisheboran, M. ^{[15
]}

Falandry, C. ^{[16
]}

Ferron, G. ^{[17
]}

Fournier, L. ^{[18
]}

Gladieff, L. ^{[19
]}

Golfier, F. ^{[9
]}

Gouy, S. ^{[20
]}

Guyon, F. ^{[21
]}

Lambaudie, E. ^{[22
]}

Leary, A. ^{[23
]}

Lecuru, F. ^{[24
]}

Lefrere-Belda, M. A. ^{[25
]}

Leblanc, E. ^{[26
]}

Lemoine, A. ^{[10
]}

Narducci, F. ^{[26
]}

Ouldamer, L. ^{[27
]}

Pautier, P. ^{[23
]}

Planchamp, F. ^{[28
]}

Pouget, N. ^{[29
]}

Ray-Coquard, I ^{[30
]}

Rousset-Jablonski, C. ^{[30
]}

Senechal-Davin, C. ^{[21
]}

Touboul, C. ^{[31
]}

Thomassin-Naggara, I ^{[32
]}

Uzan, C. ^{[33
]}

You, B. ^{[34
]}

Darai, E. ^{[8
]}

机构：

[1] CHU Rennes, Hop Sud, Serv Gynecol, 16 Bd Bulgarie, F-35000 Rennes, France

[2] Ctr Eugene Marquis, INSERM 1242, Chem Oncogenesis Stress & Signaling, Rue Bataille Flandres Dunkerques, Rennes, France

[3] CHI Poissy, Serv Gynecol, St Germain En Laye, France

[4] CHU Strasbourg, Serv Gynecol, Hop Hautepierre, Strasbourg, France

[5] Hop St Joseph, Serv Anesthesie, Paris, France

[6] CHU Lyon Sud, Serv Chirurg Digest, Lyon, France

[7] GH Diaconesses Croix St Simon, Serv Gynecol, Paris, France

[8] Sorbonne Univ, Hop Tenon, AP HP, UMRS 938,Serv Gynecol Obstet & Med Reprod,Inst Un, 4 Rue La Chine, Paris, France

[9] CHU Lyon Sud, Serv Chirurg Gynecol, Lyon, France

[10] Hop Tenon, AP HP, Serv Anesthesie, Paris, France

[11] CHRU, Serv Chirurg Gynecol, Hop Jeanne de Flandres, Lille, France

[12] AP HM La Concept, Pole Femmes Parents Enfants, Ctr Clinicobiol AMP, F-13005 Marseille, France

[13] Aix Marseille Univ, Avignon Univ, IMBE UMR 7263, CNRS,IRD, F-13397 Marseille, France

[14] Ctr Eugene Marquis, Serv Oncol Med, Rennes, France

[15] CHU Lyon Sud, Serv Anatomopathol, Hosp Civiles Lyon, Lyon, France

[16] CHU Lyon Sud, Serv Oncogeriatrie, Hosp Civiles Lyon, Lyon, France

[17] IUCT Oncopole, Serv Oncol Chirurg, Inst Claudius Regaud, Toulouse, France

[18] Hop Europeen Georges Pompidou, AP HP, Serv Radiol, Paris, France

[19] IUCT Oncopole, Serv Oncol Med, Inst Claudius Regaud, Toulouse, France

[20] Inst Gustave Roussy, Serv Chirurg, Villejuif, France

[21] Inst Bergonie, Serv Chirurg, Bordeaux, France

[22] Inst Paoli Calmette, Serv Chirurg, Marseille, France

[23] Inst Gustave Roussy, Serv Oncol Med, Villejuif, France

[24] Hop Europeen Georges Pompidou, AP HP, Serv Chirurg Gynecol & Oncol, Paris, France

[25] Hop Europeen Georges Pompidou, AP HP, Serv Anatomopathol, Paris, France

[26] Ctr Oscar Lambret, Serv Chirurg, Lille, France

[27] CHU Tours, Serv Chirurg Gynecol, Tours, France

[28] Inst Bergonie, Serv Methodol, Bordeaux, France

[29] Curie Site St Cloud, Serv Chirurg, Paris, France

[30] Ctr Leon Berard, Serv Oncol Med, Lyon, France

[31] CHI Creteil, Serv Chirurg Gynecol, Creteil, France

[32] Hop Tenon, AP HP, Serv Radiol, Paris, France

[33] Sorbonne Univ, Inst Univ Cancerol, Hop Pitie Salpetriere, Serv Chirurg & Cancerol Gynecol & Mammaire,INSERM, Paris, France

[34] Inst Cancerol Hosp Civils Lyon, Serv Oncol Med, Paris, France

来源：

JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION | 2019年 / 48卷 / 06期

关键词：

Ovarian cancer; Tubal cancer; Primary peritoneal cancer; Surgery; Chemotherapy; Guidelines;

D O I：

10.1016/j.jogoh.2019.03.017

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

An MRI is recommended for an ovarian mass that is indeterminate on ultrasound. The ROMA score (combining CA125 and HE4) can also be calculated (grade A). In presumed early-stage ovarian or tubal cancers, the following procedures should be performed: an omentectomy (at a minimum, infracolic), an appendectomy, multiple peritoneal biopsies, peritoneal cytology (grade C), and pelvic and para-aortic lymphadenectomies (grade B) for all histologic types, except the expansile mucinous subtypes, for which lymphadenectomies can be omitted (grade C). Minimally invasive surgery is recommended for early-stage ovarian cancer, when there is no risk of tumor rupture (grade B). For FIGO stages III or IV ovarian, tubal, and primary peritoneal cancers, a contrast-enhanced computed tomography (CT) scan of the thorax/abdomen/pelvis is recommended (grade B), as well as laparoscopic exploration to take multiple biopsies (grade A) and a carcinomatosis score (Fagotti score at a minimum) (grade C) to assess the possibility of complete surgery (i.e., leaving no macroscopic tumor residue). Complete surgery by a midline laparotomy is recommended for advanced ovarian, tubal, or primary peritoneal cancer (grade B). For advanced cancers, para-aortic and pelvic lymphadenectomies are recommended when metastatic adenopathy is clinically or radiologically suspected (grade B). When adenopathy is not suspected and when complete peritoneal surgery is performed as the initial surgery for advanced cancer, the lymphadenectomies can be omitted because they do not modify either the medical treatment or overall survival (grade B). Primary surgery (before other treatment) is recommended whenever it appears possible to leave no tumor residue (grade B). (C) 2019 Elsevier Masson SAS. All rights reserved.

引用

页码：369 / 378

页数：10

共 7 条

[1]

Alfonsi P, 2018, GYNECOL OBSTET FERTI

[2]

Bendifallah S, 2018, GYNECOL OBSTET FERTI

[3]

Bolze PA, 2018, GYNECOL OBSTET FERTI

[4]

Devouassoux M, 2018, GYNECOL OBSTET FERTI

[5]

Ferron G, 2018, GYNECOL OBSTET FERTI

[6]

Huchon C, 2018, GYNECOL OBSTET FERTI

[7]

Thomassin-Naggara I, 2018, GYNECOL OBSTET FERTI

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