Published: Jan. 1, 2024
Language: Английский
International Journal of Gynecological Cancer, Journal Year: 2023, Volume and Issue: 33(7), P. 1023 - 1043
Published: June 27, 2023
As part of its mission to improve the quality care for women with gynecological cancers across Europe, European Society Gynaecological Oncology (ESGO) first published in 2017 evidence-based guidelines management patients vulvar cancer.To update ESGO based on new evidence addressing cancer and cover topics order provide comprehensive all relevant issues diagnosis treatment cancer.The Council nominated an international development group comprised practicing clinicians who have demonstrated leadership through their expertize clinical research, national engagement profile as well dedication addressed serve expert panel (18 experts Europe). To ensure that statements were evidence-based, data identified from a systematic search reviewed critically appraised. In absence any clear scientific evidence, judgment was professional experience consensus group. Prior publication, by 206 practitioners delivery patient representatives.The updated comprehensively referral, staging, pathology, pre-operative investigations, surgical (local treatment, groin sentinel lymph node procedure, reconstructive surgery), (chemo)radiotherapy, systemic recurrent disease (vulvar, inguinal, pelvic, distant recurrences), follow-up. Management algorithms are also defined.
Language: Английский
Citations
101
International Journal of Gynecological Cancer, Journal Year: 2025, Volume and Issue: 35(1), P. 100007 - 100007
Published: Jan. 1, 2025
Vulvar squamous cell carcinoma incidence is increasing, especially among women under 60, largely attributed to human papillomavirus infections. Precursor pre-invasive vulvar lesions are frequently underdiagnosed. Routine inspection during cervical cancer screening could offer an opportunity for the detection of these lesions. To emphasize importance integrating routine procedures and raise awareness about early its precursors reduce diagnostic delay pathologies. A multidisciplinary task force comprising experts from 4 international scientific societies was formed. focused literature review conducted, consensus statements were developed through a structured voting process ensure clinical relevance comprehensiveness. The defines key elements normal anatomy, identifies potential pre-cancerous dermatoses, highlights risk factors malignancy. promote integration into procedures, urging health care professionals across various levels receive training guidance in examinations enhancing patient education. Health providers recommended gather brief history symptoms, conduct comprehensive inspections area, report any abnormalities. For patients with positive or Pap tests, they should closely monitor findings, encourage self-examinations, discuss risks intra-epithelial invasive neoplasia. Establishing standardized practices along public awareness, significantly impact timely interventions pathologies at ultimately reducing burden cancers.
Language: Английский
Citations
1
Journal of Clinical Oncology, Journal Year: 2024, Volume and Issue: 42(8), P. 961 - 972
Published: Feb. 5, 2024
Treatment of vulvar carcinoma (VC) is challenging. The objectives this review were to describe for clinicians the epidemiologic and clinical aspects VC, standard care in terms primary local treatment systemic therapies, recent innovations perspectives emerging from translational research immuno-oncology.
Language: Английский
Citations
8
International Journal of Gynecological Cancer, Journal Year: 2023, Volume and Issue: 33(11), P. 1800 - 1806
Published: Sept. 11, 2023
Gynecologic cancers, comprising 14.4% of newly diagnosed cancer cases in women globally, are substantial causes both mortality and morbidity, with a profound impact on the quality life (QoL) survivors. Over past few decades, advancements interdisciplinary interprofessional care have contributed to an increase average expectancy gynecological patients. However, disease its treatments patients, leading physical changes psychological consequences, including psychosocial psychosexual effects, which negatively affect their QoL. The primary objective management strategies is minimize harm while improving survival rates enhancing QoL during survivorship stage. measures play crucial role our comprehension how individuals. Consequently, various measurement instruments, such as EORTC QLQ 30, PROMIS-29, FACT-G, QOL-CS, been developed assess health-related (HRQoL). Pre- post-treatment HRQoL measurements shown be predictive factors for post-operative complications prognostic overall progression-free oncology Patient-reported outcomes related essential tools measuring patient enabling patient-centered clinical decision-making. This article focuses HRQoL, providing historical context, summarizing discussing current understanding cancers HRQoL.
Language: Английский
Citations
12
Published: Jan. 1, 2025
Citations
0
Radiology and Oncology, Journal Year: 2025, Volume and Issue: unknown
Published: March 19, 2025
Abstract Background The quality of life patients undergoing oncologic treatment has become an important issue in recent years. Owing to potential mutilation following surgery for vulvar cancer, more conservative approaches have evolved with the integration new local ablative therapies, such as electrochemotherapy. aim this study was determine women cancer recurrence treated electrochemotherapy nonpalliative purposes. Patients and methods Eleven were from July 2020 December 2023. completed different questionnaires: EuroQol - 5 Dimension (EQ-5D), European Organization Research Treatment Cancer Quality Life Questionnaire Core 30 (EORTC QLQ-C30), Vulva 34 QLQ-VU34) visual analog pain scale (VAS) before one, three six months after As a control group, fifteen wide excision EORTC QLQ-C30 VAS questionnaires surgery. Results No significant differences EQ-5D scores found between at each follow-up visit. A comparison groups showed difference physical functioning, fatigue, insomnia, global health status procedure role, cognitive, social functioning appetite loss procedure, all which favor group. QLQ-VU34 questionnaire improvements urinary symptoms related scarring external genitalia score did not differ significantly surgical groups. Conclusions that is better some segments than treatment.
Language: Английский
Citations
0
European Journal of Obstetrics & Gynecology and Reproductive Biology, Journal Year: 2025, Volume and Issue: unknown, P. 113995 - 113995
Published: April 1, 2025
Language: Английский
Citations
0
European Journal of Oncology Nursing, Journal Year: 2025, Volume and Issue: unknown, P. 102874 - 102874
Published: March 1, 2025
Language: Английский
Citations
0
International Journal of Cancer, Journal Year: 2023, Volume and Issue: 153(10), P. 1734 - 1745
Published: Aug. 2, 2023
Vulvar cancer is an uncommon malignancy. alarmed the public health problem in terms of cost diagnostic and medical treatments psychical females. Our study aims to provide a thorough analysis global disease burden, related risk factors temporal incidence trends vulvar population subgroups. Data from Global Cancer Observatory Incidence Five Continents Plus were used for incidence. Age-standardized rates (ASR) depict cancer. The 10-year trend was assessed using joinpoint regression with average annual percentage change 95% confidence intervals various age groups, while its correlations investigated linear regression. Higher ASR found Western Europe (2.4), Northern America (1.9), Australia New Zealand (1.8) Eastern Africa (1.4). associated higher gross domestic product per capita, Human Development Index, prevalence smoking, alcohol drinking, unsafe sex human immunodeficiency virus infection. overall increasing. An increasing older females mixed observed younger burden follows bimodal pattern according two histologic pathways, affecting women both developed developing regions. Smoking cessation, education papillomavirus vaccination programs should be promoted among general population. Subsequent studies can done explore reasons behind
Language: Английский
Citations
8
Revista Brasileira Ginecologia e Obstetrícia, Journal Year: 2022, Volume and Issue: 44(10), P. 962 - 971
Published: Sept. 29, 2022
To explore the main sexuality complaints of gynecologic cancer survivors after treatment and to identify care strategies provided. Searches were conducted in six electronic databases: Scopus, Web Science, LILACS, MEDLINE, PsychINFO, EMBASE. Articles published between 2010 2020 selected following descriptors used English language: female genital neoplasms gynaecological cancer. The methodological quality studies Mixed Methods Appraisal Tool (MMAT). primary data extracted were: names authors, year publication, country origin, objective type study, collection instrument, sample size age range, types cancer, symptoms affected with adopted. A total 34 out 2,536 screened articles included. found for patient patient-clinician communication, practices care, individualized plan, multiprofessional team support, development rehabilitation programs. For most common are pelvic physiotherapy sessions use vaginal gels moisturizers. identified scientific literature low libido lack interest sexual activity, dryness, pain during intercourse, stenosis. Different may be adopted, such as follow-up a multidisciplinary health programs, which could minimize these ensure life patients. Explorar principais queixas da sexualidade com sobreviventes de câncer ginecológico após o tratamento e identificar estratégias cuidados prestados. As buscas foram realizadas em seis bases eletrônicas: PsychINFO SELEçãO DOS ESTUDOS: Foram selecionados artigos publicados entre os descritores utilizados (em inglês) qualidade metodológica dos estudos utilizou ferramenta Os dados extraídos foram: nomes autores, ano publicação, país origem, objetivo tipo estudo, instrumento para coleta dados, tamanho amostra faixa etária, tipos câncer, sintomas acometidos adotadas. SíNTESE DADOS: Dos identificados, incluídos. encontradas aos pacientes comunicação paciente-médico, práticas sexuais, plano individualizado, apoio equipes multiprofissionais desenvolvimento programas reabilitação. Para sexualidade, mais comuns são sessões fisioterapia pélvica uso géis vaginais hidratantes. CONCLUSãO: identificadas na literatura científica baixa falta interesse atividade sexual, secura vaginal, dor durante relação estenose. Diferentes podem ser adotadas, como acompanhamento uma equipe saúde multidisciplinar reabilitação quais poderiam minimizar estes garantir vida pacientes.
Language: Английский
Citations
11