[What is new in the surgical treatment of pelvic gynecologic cancers?].
General tendency of modern cancerology is the research of adequacy between extent of disease and treatments. This concept is of course valid for gynaecology and we saw these last months the promising results of fertility-sparing surgery: in initial cervical cancers and in ovarian cancer with good prognosis. Actual Studies should define a clear attitude in patient less than 40 with initial endometrial cancer. At the same time, the development of laparoscopic surgery has continued in cervical cancer staging. If use of sentinel node in endometrial or vulvar cancers remains discussed as for its reliability, importance of staging was stressed for cervical cancer and initial ovarian cancer. Laparoscopic surgery is confirmed in patient at risk with endometrial cancer but it is necessary to stress efforts of French teams which still push back the technical limits of laparoscopic approach like pelvic exenteration or intra-peritoneal chemohyperthermia in advanced ovarian cancer. The adventure continues....
Narducci
Fabrice
F
Centre de lutte contre le cancer Oscar Lambret, 3, rue F. Combemale, BP 307, 59020 Lille, France. f-narducci@o-lambret.fr
Sabban
Frédéric
F
Vanlerenberghe
Edith
E
Lesoin
Anne
A
Chevalier
Annick
A
Gauthier
Hélène
H
Taieb
Sophie
S
Castelain
Bernard
B
Leblanc
Eric
E
D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002986:Clinical Trials as Topic; D003131:Combined Modality Therapy; D005260:Female; D005602:France; D005833:Genital Neoplasms, Female / Q000188:drug therapy / Q000601:surgery*; D013509:Gynecologic Surgical Procedures / Q000379:methods* / Q000639:trends; D006801:Humans; D006979:Hyperthermia, Induced; D007263:Infusions, Parenteral; D010535:Laparoscopy / Q000379:methods* / Q000639:trends; D011379:Prognosis; D012307:Risk Factors
D000970:Antineoplastic Agents