Management of early-stage cervical cancer: a literature review
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://hdl.handle.net/1822/78346 |
Resumo: | Cervical cancer (CC) remains a public health issue worldwide despite preventive measures. Surgical treatment in the early-stage CC has evolved during the last decades. Our aim was to review the advances in the literature and summarize the ongoing studies on this topic. To this end, we conducted a literature review through PubMed focusing on English-language articles on the surgical management of early-stage CC. The emergent topics considered here are the FIGO 2018 staging system update, conservative management with less radical procedures for selected patients, lymph node staging, fertility preservation, preferred surgical approach, management of tumors up to 2 cm, and prognosis. In terms of updating FIGO, we highlight the inclusion of lymph node status on staging and the possibility of imaging. Regarding the preferred surgical approach, we emphasize the LACC trial impact worldwide in favor of open surgery; however, we discuss the controversial application of this for tumors < 2 cm. In summary, all topics show a tendency to provide patients with tailored treatment that avoids morbidity while maintaining oncologic safety, which is already possible in high-income countries. We believe that efforts should focus on making this a reality for low-income countries as well. |
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Management of early-stage cervical cancer: a literature reviewCervical cancerDiagnosis and stagingRadical surgerySentinel lymph nodeFertility sparingScience & TechnologyCervical cancer (CC) remains a public health issue worldwide despite preventive measures. Surgical treatment in the early-stage CC has evolved during the last decades. Our aim was to review the advances in the literature and summarize the ongoing studies on this topic. To this end, we conducted a literature review through PubMed focusing on English-language articles on the surgical management of early-stage CC. The emergent topics considered here are the FIGO 2018 staging system update, conservative management with less radical procedures for selected patients, lymph node staging, fertility preservation, preferred surgical approach, management of tumors up to 2 cm, and prognosis. In terms of updating FIGO, we highlight the inclusion of lymph node status on staging and the possibility of imaging. Regarding the preferred surgical approach, we emphasize the LACC trial impact worldwide in favor of open surgery; however, we discuss the controversial application of this for tumors < 2 cm. In summary, all topics show a tendency to provide patients with tailored treatment that avoids morbidity while maintaining oncologic safety, which is already possible in high-income countries. We believe that efforts should focus on making this a reality for low-income countries as well.Multidisciplinary Digital Publishing Institute (MDPI)Universidade do MinhoGuimarães, Yasmin MedeirosGodoy, Luani RezendeLongatto, AdhemarReis, Ricardo dos2022-01-242022-01-24T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/1822/78346engGuimarães, Y.M.; Godoy, L.R.; Longatto-Filho, A.; Reis, R.d. Management of Early-Stage Cervical Cancer: A Literature Review. Cancers 2022, 14, 575. https://doi.org/10.3390/cancers140305752072-669410.3390/cancers14030575575https://www.mdpi.com/2072-6694/14/3/575info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:28:01Zoai:repositorium.sdum.uminho.pt:1822/78346Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:22:45.108489Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Management of early-stage cervical cancer: a literature review |
title |
Management of early-stage cervical cancer: a literature review |
spellingShingle |
Management of early-stage cervical cancer: a literature review Guimarães, Yasmin Medeiros Cervical cancer Diagnosis and staging Radical surgery Sentinel lymph node Fertility sparing Science & Technology |
title_short |
Management of early-stage cervical cancer: a literature review |
title_full |
Management of early-stage cervical cancer: a literature review |
title_fullStr |
Management of early-stage cervical cancer: a literature review |
title_full_unstemmed |
Management of early-stage cervical cancer: a literature review |
title_sort |
Management of early-stage cervical cancer: a literature review |
author |
Guimarães, Yasmin Medeiros |
author_facet |
Guimarães, Yasmin Medeiros Godoy, Luani Rezende Longatto, Adhemar Reis, Ricardo dos |
author_role |
author |
author2 |
Godoy, Luani Rezende Longatto, Adhemar Reis, Ricardo dos |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Guimarães, Yasmin Medeiros Godoy, Luani Rezende Longatto, Adhemar Reis, Ricardo dos |
dc.subject.por.fl_str_mv |
Cervical cancer Diagnosis and staging Radical surgery Sentinel lymph node Fertility sparing Science & Technology |
topic |
Cervical cancer Diagnosis and staging Radical surgery Sentinel lymph node Fertility sparing Science & Technology |
description |
Cervical cancer (CC) remains a public health issue worldwide despite preventive measures. Surgical treatment in the early-stage CC has evolved during the last decades. Our aim was to review the advances in the literature and summarize the ongoing studies on this topic. To this end, we conducted a literature review through PubMed focusing on English-language articles on the surgical management of early-stage CC. The emergent topics considered here are the FIGO 2018 staging system update, conservative management with less radical procedures for selected patients, lymph node staging, fertility preservation, preferred surgical approach, management of tumors up to 2 cm, and prognosis. In terms of updating FIGO, we highlight the inclusion of lymph node status on staging and the possibility of imaging. Regarding the preferred surgical approach, we emphasize the LACC trial impact worldwide in favor of open surgery; however, we discuss the controversial application of this for tumors < 2 cm. In summary, all topics show a tendency to provide patients with tailored treatment that avoids morbidity while maintaining oncologic safety, which is already possible in high-income countries. We believe that efforts should focus on making this a reality for low-income countries as well. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-24 2022-01-24T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://hdl.handle.net/1822/78346 |
url |
https://hdl.handle.net/1822/78346 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Guimarães, Y.M.; Godoy, L.R.; Longatto-Filho, A.; Reis, R.d. Management of Early-Stage Cervical Cancer: A Literature Review. Cancers 2022, 14, 575. https://doi.org/10.3390/cancers14030575 2072-6694 10.3390/cancers14030575 575 https://www.mdpi.com/2072-6694/14/3/575 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Multidisciplinary Digital Publishing Institute (MDPI) |
publisher.none.fl_str_mv |
Multidisciplinary Digital Publishing Institute (MDPI) |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799132699725660161 |