title: Survey among German gynecologists on the clinical management of patients with sarcomas of the uterus.
abstract: OBJECTIVE
  To gain more information about the knowledge of the clinical management of uterine sarcoma.
  
  
  METHODS
  This survey was performed among members of the North-Eastern German Society of Gynecological Oncology (NOGGO) and the German Society of Psychosomatic Medicine in Gynecology and Obstetrics (DGPFG) on the treatment of uterine sarcomas.
  
  
  RESULTS
  Altogether, 374 gynecologists took part. When asked about the surgical therapy of leiomyosarcoma, 64% indicated hysterectomy with bilateral adenectomy and lymph node dissection. Answers on the extent of lymphadenectomy in leiomyosarcoma differed widely. When asked about the preferred chemotherapy regimen for metastatic uterine sarcoma, more than 60% of all gynecologists would not apply any chemotherapy. Almost 40% recommended any kind of radiotherapy in this situation.
  
  
  CONCLUSIONS
  There is a great uncertainty about the standard treatment of uterine sarcoma, even among specialists of gynecological oncology. It is time for organized efforts to improve the treatment of uterine sarcoma.
authors.affiliation: Department of Gynecology, Charité University Medicine Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Frank Chih-Kang
authors.initials: FC
authors.lastname: Chen
authors.forename: Matthias
authors.initials: M
authors.lastname: David
authors.forename: Rolf
authors.initials: R
authors.lastname: Richter
authors.forename: Mustafa Zelal
authors.initials: MZ
authors.lastname: Muallem
authors.forename: Radoslav
authors.initials: R
authors.lastname: Chekerov
authors.forename: Jalid
authors.initials: J
authors.lastname: Sehouli
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003710:Demography; D005260:Female; D005858:Germany / Q000453:epidemiology; D006176:Gynecology / Q000706:statistics & numerical data*; D019538:Health Care Surveys / Q000706:statistics & numerical data*; D006801:Humans; D007890:Leiomyosarcoma / Q000453:epidemiology / Q000601:surgery; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D012509:Sarcoma / Q000188:drug therapy / Q000453:epidemiology* / Q000601:surgery / Q000628:therapy*; D014594:Uterine Neoplasms / Q000188:drug therapy / Q000453:epidemiology* / Q000601:surgery / Q000628:therapy*
keywords: German gynaecologists; Survey; uterine sarcoma