Diagnosis, Therapy and Follow-up of Cervical Cancer. Guideline of the DGGG, DKG and DKH (S3-Level, AWMF Registry No. 032/033OL, May 2021) – Part 2 with Recommendations on Psycho-oncology, Rehabilitation, Follow-up, Recurrence, Palliative Therapy and Healthcare Facilities

Fehm T, Stübs F, Koch M, Mallmann P, Dannecker C, Dietl A, Sevnina A, Mergel F, Lotz L, Hack C, Ehret A, Gantert D, Martignoni F, Cieslik JP, Menke J, Ortmann O, Stromberger C, Oechsle K, Hornemann B, Mumm F, Grimm C, Sturdza A, Wight E, Loessl K, Golatta M, Hagen V, Dauelsberg T, Diel I, Münstedt K, Merz E, Vordermark D, Lindel K, Wittekind C, Küppers V, Lellé R, Neis K, Griesser H, Pöschel B, Steiner M, Freitag U, Gilster T, Schmittel A, Friedrich M, Haase H, Gebhardt M, Kiesel L, Reinhardt M, Kreiβl M, Kloke M, Horn LC, Wiedemann R, Marnitz S, Letsch A, Zraik I, Mangold B, Möckel J, Alt C, Wimberger P, Hillemanns P, Paradies K, Mustea A, Denschlag D, Henscher U, Tholen R, Wesselmann S, Beckmann M (2022)

Publication Type: Journal article

Publication year: 2022

Journal

Book Volume: 82

Pages Range: 181-205

Journal Issue: 2

DOI: 10.1055/a-1671-2446

Abstract

Aim This is an update of the interdisciplinary S3-guideline on the Diagnosis, Therapy and Follow-up of Cervical Cancer (AWMF Registry No. 032/033OL), published in March 2021. The work on the updated guideline was funded by German Cancer Aid (Deutsche Krebshilfe) as part of the German Guideline Program in Oncology. The guideline was coordinated by the German Society of Gynecology and Obstetrics (Deutsche Gesellschaft für Gynäkologie und Geburtshilfe, DGGG) and the Working Group on Gynecological Oncology (Arbeitsgemeinschaft Gynäkologische Onkologie, AGO) of the German Cancer Society (Deutsche Krebsgesellschaft, DKG). Method The process used to update the 2014 S3-guideline was based on an appraisal of the available evidence using the criteria of evidence-based medicine, adaptations of existing evidence-based national and international guidelines or - if evidence was lacking - on the consensus of the specialists involved in compiling the update. After an initial review of the current literature was carried out according to a prescribed algorithm, several areas were identified which, in contrast to the predecessor version from September 2014, required new recommendations or statements which would take account of more recently published literature and the recent appraisal of new evidence. Recommendations The short version of this guideline consists of recommendations and statements on palliative therapy and follow-up of patients with cervical cancer. The most important aspects included in this updated guideline are the new FIGO classification published in 2018, the radical open surgery approach used to treat cervical cancer up to FIGO stage IB1, and the use of the sentinel lymph node technique for tumors ≤ 2 cm. Other changes include the use of PET-CT, new options in radiotherapy (e.g., intensity-modulated radiotherapy, image-guided adaptive brachytherapy), and drug therapies to treat recurrence or metastasis.

Authors with CRIS profile

Involved external institutions

Universitätsklinikum Magdeburg A.ö.R. Germany (DE) Deutsche Krebsgesellschaft (DKG) Germany (DE) Kliniken Essen-Mitte Germany (DE) Onkologie Seestrasse Germany (DE) Universitätsklinikum Münster Germany (DE) Pius-Hospital Oldenburg Germany (DE) Hochtaunus-Kliniken Germany (DE) Universitätsklinikum Köln Germany (DE) Universitätsklinikum Düsseldorf Germany (DE) St.-Johannes-Hospital Germany (DE) Universitätsklinikum Freiburg Germany (DE) Universitätsklinikum Hamburg-Eppendorf (UKE) Germany (DE) Universitätsklinikum Bonn Germany (DE) Universitätsklinikum Schleswig-Holstein (UKSH) Germany (DE) Klinikum der Universität München Germany (DE) Praxisklinik am Rosengarten Germany (DE) Hochschule Düsseldorf University of Applied Sciences Germany (DE) Universitätsklinikum Augsburg Germany (DE) Charité - Universitätsmedizin Berlin Germany (DE) Dr. Schneider | Labor für Zytodiagnostik Germany (DE) Städtisches Klinikum Karlsruhe Germany (DE) HELIOS Kliniken Germany (DE) Frauenselbsthilfe nach Krebs - Bundesverband e. V. Germany (DE) Vienna General Hospital / Allgemeines Krankenhaus der Stadt Wien (AKH) Austria (AT) Universitätsklinikum Heidelberg Germany (DE) Labor Dr. Wisplinghoff Germany (DE) Universitätsspital Basel Switzerland (CH) Konferenz Onkologischer Kranken- und Kinderkrankenpflege (KOK) Germany (DE) ZytoLabor Ludwigsburg Germany (DE) Zentrum für Ultraschall und Pränatalmedizin Germany (DE) Universitätsklinikum Leipzig Germany (DE) Deutscher Verband für Physiotherapie (ZVK) e. V. Germany (DE) Universitätsklinikum Halle (Saale) Germany (DE) Arbeitsgemeinschaft Deutscher Tumorzentren Germany (DE) Universitätsklinikum Carl Gustav Carus Dresden Germany (DE) Inselspital, Universitätsspital Bern Switzerland (CH) Medizinische Universität Wien Austria (AT) Medizinische Hochschule Hannover (MHH) / Hannover Medical School Germany (DE) Technische Universität Dresden Germany (DE)

How to cite

APA:

Fehm, T., Stübs, F., Koch, M., Mallmann, P., Dannecker, C., Dietl, A.,... Beckmann, M. (2022). Diagnosis, Therapy and Follow-up of Cervical Cancer. Guideline of the DGGG, DKG and DKH (S3-Level, AWMF Registry No. 032/033OL, May 2021) – Part 2 with Recommendations on Psycho-oncology, Rehabilitation, Follow-up, Recurrence, Palliative Therapy and Healthcare Facilities. Geburtshilfe und Frauenheilkunde, 82(2), 181-205. https://doi.org/10.1055/a-1671-2446

MLA:

Fehm, Tanja, et al. "Diagnosis, Therapy and Follow-up of Cervical Cancer. Guideline of the DGGG, DKG and DKH (S3-Level, AWMF Registry No. 032/033OL, May 2021) – Part 2 with Recommendations on Psycho-oncology, Rehabilitation, Follow-up, Recurrence, Palliative Therapy and Healthcare Facilities." Geburtshilfe und Frauenheilkunde 82.2 (2022): 181-205.

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