Brazilian Society of Surgical Oncology consensus on fertility‐sparing surgery for cervical cancer. Issue 1 (11th June 2022)

• Record Type: Journal Article
• Authors: Baiocchi, Glauco; Tsunoda, Audrey Tieko; Guitmann, Gustavo; Vieira, Marcelo Andrade; Zanvettor, Paulo Henrique; Silvestre, Janiceli Blanca Carlotto Hablich; Santos, Marcelo Henrique; Sacramento, Raquel de Maria Maués; de Araujo, Eliel Oliveira; Lopes, Roberto Heleno; Falcao, Deraldo; Lopes, Andre; Schmidt, Ronaldo; Lyra, Jorge Soares; Almeida, Herbert Ives Barretto; Casteleins, William Augusto; Cintra, Georgia Fontes; Zanini, Lucas Adalberto Geraldi; Reis, Rosilene Jara; Coelho, Eid Gonçalves; Fin, Fábio Roberto; Rezende, Viviane; Pançan, Thais Dvulatk Marques; Vieira, Sabas Carlos; Silva, Jeancarllo Sousa; de Andrade, Manoel Rodrigues; Carneiro, Vandre Cabral Gomes; Foiato, Tariane Friedrich; Ritt, Guilherme Fonteles; Ianaze, Gustavo Castro; Moretti‐Marques, Renato; Andrade, Carlos Eduardo Mattos Cunha; Maciel, Luiza Freitas; Lira, Daniel Lourenço; Medeiros, Gustavo Mendes; Leite, Amanda Lira Santos; Cucolicchio, Guilherme Oliveira; Tayeh, Muhamed Read Ali; Cruz, Ricardo Pedrini; Guth, Gustavo Ziggiatti; Leal, Renato Mazon Lina Verde; Magno, Valentino Antonio; Lopes, Francisco Carlos Oliveira; Laporte, Gustavo Andreazza; Pupo‐Nogueira, Alexandre; Barros, Aldo Vieira; da Cunha, Juliano Rodrigues; Pessini, Suzana Arenhart; Braganca, Joana Froes; Figueiredo, Higino Felipe; Loureiro, Carlos Manoel Bulcão; Bocanegra, Ronald Enrique Delgado; Affonso, Renato José; Fernandes, Paulo Henrique de Souza; Ribeiro, Heber Salvador Castro; Batista, Thales Paulo; Oliveira, Alexandre Ferreira; Ribeiro, Reitan;
• Other Names: Rocha Flavio G. guestEditor.; Pinheiro Rodrigo Nascimento guestEditor.; Oliveira Alexandre Ferreira guestEditor.
• Is Part Of: Journal of surgical oncology. Volume 126:Issue 1(2022)
• Page Start: 37
• Page End: 47
• Publication Date: 2022-06-11
• Subjects: cervical cancer -- conservative management -- fertility‐sparing surgery -- radical trachelectomy -- simple trachelectomy; Cancer -- Surgery -- Periodicals; Neoplasms -- Periodicals; 616
• DOI: 10.1002/jso.26899
• Languages: English
• ISSNs: 0022-4790

Abstract

Abstract: Objective: Several controversies remain on conservative management of cervical cancer. Our aim was to develop a consensus recommendation on important and novel topics of fertility‐sparing treatment of cervical cancer. Methods: The consensus was sponsored by the Brazilian Society of Surgical Oncology (BSSO) from March 2020 to September 2020 and included a multidisciplinary team of 55 specialists. A total of 21 questions were addressed and they were assigned to specialists' groups that reviewed the literature and drafted preliminary recommendations. Further, the coordinators evaluated the recommendations that were classified by the level of evidence, and finally, they were voted by all participants. Results: The questions included controversial topics on tumor assessment, surgical treatment, and surveillance in conservative management of cervical cancer. The two topics with lower agreement rates were the role of minimally invasive approach in radical trachelectomy and parametrial preservation. Additionally, only three recommendations had <90% of agreement (fertility preservation in Stage Ib2, anti‐stenosis device, and uterine transposition). Conclusions: As very few clinical trials have been developed in surgery for cervical cancer, most recommendations were supported by low levels of evidence. We addressed important and novel topics in conservative management of cervical cancer and our study may contribute to literature.