Cervical cancer staging, pretreatment planning, and surgical treatment in the Nordic countries-Survey from the Surgical Subcommittee of the Nordic Society of Gynecological Oncology.

• Published in: Acta Obstetricia et Gynecologica Scandinavica
• Main Authors: Fuglsang, Katrine, Haldorsen, Ingfrid S, Avall-Lundqvist, Elisabeth, Lindahl, Gabriel, Roed, Henrik, Woie, Kathrine, Pakarinen, Päivi, Thoroddsen, Asgeir, Anttila, Maarit, Blaakaer, Jan
• Other Authors: 1 Department of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark. 2 Department of Radiology, Haukeland University Hospital, Bergen, Norway. 3 Department of Oncology, Linköping University, Linköping, Sweden. 4 Department of Clinical and Experimental Medicine, Linköping, University, Linköping, Sweden. 5 Department of Oncology, Rigshospitalet University Hospital, Copenhagen, Denmark. 6 Department of Obstetrics and Gynecology, Haukeland University Hospital, Bergen, Norway. 7 Department of Obstetrics and Gynecology, Helsinki University Central Hospital, Helsinki, Finland. 8 Department of Obstetrics and Gynecology, Reykjavik University Hospital, Reykjavik, Iceland. 9 Department of Gynecology, Kuopio University Hospital, Kuopio, Finland. 10 Department of Obstetrics and Gynecology, Odense University Hospital, Odense, Denmark.
• Format: Article in Journal/Newspaper
• Language: English
• Published: Wiley 2018
• Subjects: gynecological surgical procedure; International Federation of Gynecology and Obstetrics; Nordic Society of Gynecological Oncology; diagnostic imaging; neoplasm staging; pretreatment elaboration; sentinel lymph node; uterine cervical neoplasm; Leghálskrabbamein; Skurðlækningar; Myndgreining (læknisfræði); Uterine Cervical Neoplasms; Gynecologic Surgical Procedures; Norway; The Sentinel; Iceland
• Online Access: http://hdl.handle.net/2336/620720; https://doi.org/10.1111/aogs.13388

To access publisher's full text version of this article click on the hyperlink below Women with cervical cancer in the Nordic countries are increasingly undergoing pretreatment imaging by ultrasound, magnetic resonance imaging (MRI), positron emission tomography-computed tomography (PET-CT) or computed tomography, or sentinel lymph node procedure. The present survey reports the influence of pretreatment imaging findings on the recorded clinical International Federation of Gynecology and Obstetrics (FIGO) stage in Nordic countries and its impact on treatment planning and preferred surgical approach in cervical cancer. The Nordic Society of Gynecological Oncology Surgical Subcommittee developed a questionnaire-based survey that was conducted from 1 January to 31 March 2017. All the 22 Nordic Gynecological Oncology Centers (Denmark 5, Finland 5, Iceland 1, Norway 4, and Sweden 7) were invited to participate. The questionnaires were returned by 19 of 22 (86.3%) centers. The median number (range) of women with cervical cancer treated at each center annually was 32 (15-120). In 58% (11/19) of the centers, imaging findings were reported to influence the clinical staging. MRI in combination with PET-CT was the preferred imaging method and the results influenced treatment planning. Robotic-assisted radical hysterectomy was the preferred surgical method in 72% (13/18) of the centers. Sentinel lymph node procedure was not routinely implemented in the majority of the Nordic centers. More than half of the Nordic Gynecological Oncology Centers already report a clinical FIGO stage influenced by pretreatment imaging findings. The trend in preferred treatment is robotic-assisted radical hysterectomy and the sentinel lymph node procedure is gradually being introduced.