Perioperative Care in Gynecologic Oncology

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Survivorship and Quality of Life".

Deadline for manuscript submissions: 28 February 2025 | Viewed by 3057

Special Issue Editors


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Guest Editor
Alexandra Hospital, Department of Obstetrics and Gynecology Medical School, University of Athens, Athens, Greece
Interests: gynecologic oncology

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Guest Editor
Gynaecologic Oncology Unit, 1st Department of Obstetrics and Gynaecology, Alexandra Hospital, National and Kapodistrian University of Athens, 11528 Athens, Greece
Interests: gynecologic oncology; endometrial cancer; cervical cancer; ovarian cancer; vulvar cancer; cytoreductive surgery
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Special Issue Information

Dear Colleagues,

This Special Issue will provide an in-depth overview of our current knowledge regarding factors affecting the perioperative course of gynecologic oncology patients, who often represent a difficult group during their perioperative management. Several interventions have been proposed in recent years for the opti-mization of the variables of gynecologic oncology patients, in order to help to reduce perioperative mor-bidity rates. 
Potential topics of interest include but are not limited to enhanced recovery protocols, novel techniques concerning the surgical management of gynecologic oncology patients, novel aspects around immunonu-trition, as well as predictive factors that may help to predict the course of these women. The issue covers the management of patients with ovarian, endometrial, cervical, vulvar, and breast cancer. We seek con-tributions in the form of original research articles and reviews, in hopes that leading experts will share their knowledge on the pathophysiology of perioperative recovery and the management of these patients.

Dr. Nikolaos Thomakos
Dr. Vasilios Pergialiotis
Guest Editors

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Keywords

  • enhanced recovery
  • ERAS
  • immunonutrition
  • prehabiliation
  • gynecologic oncology
  • minimally invasive surgery

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Published Papers (2 papers)

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Research

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9 pages, 865 KiB  
Article
Lower Limb Lymphedema Awareness among Gynecological Cancer Patients: An International Survey Supported by the European Network of Gynecological Cancer Advocacy Groups (ENGAGe) Group
by Dimitrios Haidopoulos, Vasilios Pergialiotis, Maria Papageorgiou, Michael J. Halaska, Katerina Maxova, Elena Ulrich, Ignacio Zapardiel, Alexandros Rodolakis, Murat Gultekin and Christina Fotopoulou
Cancers 2024, 16(8), 1544; https://doi.org/10.3390/cancers16081544 - 18 Apr 2024
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Abstract
Introduction: Patient awareness of postoperative lymphedema in the field of gynecologic oncology has been poorly documented in the international literature. We wished to capture and document the awareness among gynecological cancer survivors about postoperative lymphedema, including aspects such as the adequacy of perioperative [...] Read more.
Introduction: Patient awareness of postoperative lymphedema in the field of gynecologic oncology has been poorly documented in the international literature. We wished to capture and document the awareness among gynecological cancer survivors about postoperative lymphedema, including aspects such as the adequacy of perioperative counseling, management, and quality of life. Methods: A web-based survey comprising 25 multiple-choice questions was distributed to gynecological cancer advocacy groups within the European Network of Gynecological Cancer Advocacy Groups (ENGAGe) group. The survey was validated in a pilot group of gynecological patients prior to distribution. Results: Overall, 386 women from 20 countries completed the questionnaire. Only half of the patients (n = 211) knew what lymphedema is, whereas 52% of the respondents stated that they were never informed at their pre-operative assessment about the potential risk of developing lymphedema. Fifty-three percent of those women who were informed about the risk and management of lymphedema received information through self-initiative, connecting mainly with patient groups or online. Approximately 84% of patients with lymphedema reported that they informed their doctor about their symptoms. Ninety-four patients (55.3%, which is not 55% of the 386) were treated for lymphedema. Forty-five women out of 136 reported that lymphedema significantly affected their everyday lives. Discussion: We report a large lack of awareness and a significant gap of knowledge about the risks and treatment options related to postoperative lymphedema among gynecological cancer survivors. Institutional practice routines and awareness among professionals need to be urgently recalled and adapted to adequately inform and support gynecological cancer patients. Full article
(This article belongs to the Special Issue Perioperative Care in Gynecologic Oncology)
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Review

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12 pages, 1044 KiB  
Review
Management of Endometrial Cancer: A Comparative Review of Guidelines
by Stergios Kopatsaris, Ioannis Tsakiridis, Georgios Kapetanios, Fotios Zachomitros, Georgios Michos, Evangelos Papanikolaou, Apostolos Athanasiadis, Themistoklis Dagklis and Ioannis Kalogiannidis
Cancers 2024, 16(21), 3582; https://doi.org/10.3390/cancers16213582 - 24 Oct 2024
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Abstract
Endometrial cancer is the most frequently diagnosed gynecological cancer. The aim of this study was to summarize and compare the most recent guidelines regarding its management. A comparative review of guidelines from the European Society of Gynecological Oncology, the European Society for Radiotherapy [...] Read more.
Endometrial cancer is the most frequently diagnosed gynecological cancer. The aim of this study was to summarize and compare the most recent guidelines regarding its management. A comparative review of guidelines from the European Society of Gynecological Oncology, the European Society for Radiotherapy and Oncology, the European Society of Pathology, the European Society for Medical Oncology, the Cancer Council of Australia, the British Gynecological Cancer Society, the National Comprehensive Cancer Network, and the American College of Obstetricians and Gynecologists was carried out. The comparison of guidelines highlighted common recommendations and key differences regarding the most basic aspects of endometrial cancer management. Certain differences were identified in the options of surgical procedures based on endometrial biopsy and lymph node infiltration. Minor differences were identified in the management of recurrent disease, while the more pronounced differences were found in the follow-up procedure. The development of consistent international protocols in similar resource settings may lead to a more consistent classification, as well as to common lines regarding surgical approaches, risk stratification and the way patients should be monitored following the remission of endometrial cancer. Full article
(This article belongs to the Special Issue Perioperative Care in Gynecologic Oncology)
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