Lymphovascular Space Invasion for Endometrial Cancer: Undertreatment and Overtreatment Risks

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Mikel Gorostidi PulgarPablo Padilla Iserte

Abstract

The purpose of this study is to asses the impact of lymphovascular space invasion (LVSI) present in early-stage endometrial cancer, regarding its therapeutic management and prognosis knowledge, based on a survey among Spanish oncologic gynecologist. Between October and November 2014, the Young Spanish Onco-gynecologist Group carried out a survey to perform a cross-sectional study about the management of LVSI. All active members in the oncology field of the Spanish Society of Gynecology and Obstetrics were invited to participate in the survey. Most respondents consider LVSI a bad prognosis factor for endometrial cancer (66%) and also consider that it should be included in the International Federation of Gynecology and Obstetrics classification (56%). Seventy-five percent of all gynecologists did not modify their surgical treatment. Regarding follow-up, 38% of the respondents do not change their surveillance, 28% modify it, and 31% reported any change only with additional factors. Forty-seven percent of respondents advise systemic treatment with chemotherapy.Data were dichotomized between less than or equal to 20 versus greater than 20 years of OB-GYN specialist and less than or equal to 5 versus greater than 5 years of main dedi...Continue Reading

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Citations

Jul 22, 2020·American Journal of Obstetrics and Gynecology·Pablo Padilla-IserteUNKNOWN Spanish Society of Gynecology and Obstetrics Spanish Investigational Network Gynecologic Oncology Group
Aug 11, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Ji SonStephanie Ricci
May 4, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Yifan MengPeng Wu
Dec 17, 2020·International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists·Georgia KarpathiouMichel Peoc'h

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