Tertiary prevention strategies for micrometastatic lymph node cervical cancer: A systematic review and a prototype of an adapted model of care
Jazyk angličtina Země Nizozemsko Médium print-electronic
Typ dokumentu časopisecké články, systematický přehled
PubMed
38527594
DOI
10.1016/j.critrevonc.2024.104329
PII: S1040-8428(24)00072-6
Knihovny.cz E-zdroje
- Klíčová slova
- Algorithm, Cervical cancer, Micrometastasis, Prevention, Review, Sentinel lymph node,
- MeSH
- lidé MeSH
- lokální recidiva nádoru prevence a kontrola patologie MeSH
- lymfatické metastázy * MeSH
- lymfatické uzliny patologie MeSH
- mikrometastázy * patologie MeSH
- nádory děložního čípku * patologie diagnóza prevence a kontrola MeSH
- prognóza MeSH
- terciární prevence metody MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- systematický přehled MeSH
PURPOSE: We found a need for balancing the application of clinical guidelines and tailored approaches to follow-up of cervical cancer (CC) patients in the lymph node micrometastatic (MICs) setting. This review aimed to determine the current knowledge of management of MIC-positive CC cases. METHODOLOGY: We addressed prognostic and risk of recurrence monitoring impacts associated with MIC+ cases. The electronic databases for literature and relevant articles were analysed. RESULTS: Fifteen studies, (4882 patients), were included in our systematic review. While the results show that MICs significantly worsen prognosis in early CC. A tertiary prevention algorithm for low volume lymph node disease may stratify follow-up according to the burden of nodal disease and provide data that helps improve follow-up performance. CONCLUSION: MICs worsen prognosis and should be managed as suggested by the algorithm. However, this algorithm must be externally validated. The clinical impact of isolated tumor cells (ITC) remains unclear.
Breast Gynaecology and Reconstructive Surgery Unit Institute Curie Paris France
Clinical Department of Gynaecology and Obstetrics City Hospital Rzeszów Rzeszów Poland
Department of Environmental Technology Faculty of Chemistry University of Gdańsk Gdańsk Poland
Department of Family Medicine Lazarski University Warsaw Poland
Department of Gynaecological Surgery Hospital Tenon Paris France
Department of Gynaecology and Obstetrics Medical University of Gdańsk Gdańsk Poland
Department of Gynaecology Oncology Michele e Pietro Ferrero Hospital Verduno Italy
Department of Pathology Medical University of Gdańsk Gdańsk Poland
Department of Surgery Institute Curie University Paris Cite Paris France
Hospital of Fribourg HFR Chemin des Pensionnats 2 6 Villars sur Glâne 1752 Switzerland
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