Cervical cancer: national clinical practice guidelines from the French cervical cancer guidelines group - 14/11/26
, Lobna Ouldamer b, Cyrille Huchon c, Pauline Asseeva d, Henri Azaïs e, Sofiane Bendifallah f, Jean-Luc Brun g, Geoffroy Canlorbe h, Cyrus Chargari i, Pauline Chauvet j, Abel Cordoba k, Hélène Courcier l, Yohann Dabi m, Marion de Berti b, Caroline Diguisto b, Eva Fuss n, Thomas Gaillard o, Tristan Gauthier p, Witold Gertych q, Laurence Gladieff r, Olivier Graesslin s, Yohan Kerbage t, Martin Koskas l, Enora Laas o, Aymeline Lacorre p, Vincent Lavoué u, Lise Lecointre n, Fabrice Lecuru v, François Margueritte p, Alejandra Martinez w, Paul-Jean Maternowski g, Patrice Mathevet x, y, Imane Menouer s, Camille Mimoun c, Anthony Moureau u, Antoine Netter a, Charles-André Philip z, Pascal Rousset aa, Claire Sanson ab, Isabelle Thomassin-Naggara ac, Cyril Touboul m, Jean Levêque uAbstract |
Over the past decade, cervical cancer management has evolved substantially, with major changes in surgical approach, surgical radicality, nodal staging, imaging, radiotherapy techniques, brachytherapy and systemic treatments. To harmonize practice and integrate new evidence into clinically applicable recommendations, the French Cervical Cancer Guidelines Group developed national clinical practice guidelines for the management of patients with cervical cancer. The guideline process was conducted under the auspices of the French National College of Obstetricians and Gynecologists and involved a multidisciplinary expert panel representing the French scientific societies involved in cervical cancer care. Clinical questions were formulated using the PICO framework and addressed the full continuum of care, including initial assessment, imaging, diagnostic conization, surgical nodal staging, treatment, fertility preservation, response assessment, follow-up, recurrence and specific clinical situations. Evidence was reviewed and critically appraised according to the GRADE methodology, and all recommendations were based on the 2018 FIGO staging system. External validation was performed through a two-round Delphi process involving 87 independent reviewers. Overall, 130 PICO questions generated 158 recommendations, including 35 strong and 52 weak recommendations, while no recommendation could be issued for 71 questions. Key practice-changing recommendations include the role of diagnostic conization in early-stage assessment, avoidance of minimally invasive hysterectomy from stage IB1 disease, risk-adapted surgical radicality, sentinel lymph node biopsy with ultrastaging, image-guided brachytherapy after chemoradiotherapy, and integration of PEMBROLIZUMAB in selected locally advanced or metastatic settings.
Le texte complet de cet article est disponible en PDF.Keywords : Cervical cancer, Clinical practice guidelines, Staging, Surgery, Chemoradiotherapy
Plan
| Joint guidelines issued by the following scientific societies: -Collège National des Gynécologues Obstétriciens Français (CNGOF) -Fédération Nationale des Collèges de Gynécologie Médicale (FNCGM) -FRANCOGYN -GINECO -Société de Chirurgie Gynécologique et Pelvienne (SCGP) -Société Française de Chirurgie Oncologique (SFCO) -Société Française de Colposcopie et Pathologie Cervico-Vaginale (SFCPCV) -Société Française de Gynécologie Pathologie (SFGP) -Société Française d’Onco-Gynécologie (SFOG) -Société Française de Radiologie (SFR) -Société Française de Radiothérapie Oncologique (SFRO) -Société d’Imagerie de la Femme (SIFEM) |
Vol 55 - N° 10
Article 103314- décembre 2026 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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