Alternative management for gynecological cancer care during the COVID-2019 pandemic: A Latin American survey.

OBJECTIVE: To determine the acceptance rate of treatment alternatives for women with either preinvasive conditions or gynecologic cancers during the COVID-19 pandemic among Latin American gynecological cancer specialists. METHODS: Twelve experts in gynecological cancer designed an electronic survey, according to recommendations from international societies, using an online platform. The survey included 22 questions on five topics: consultation care, preinvasive cervical pathology, and cervical, ovarian, and endometrial cancer. The questionnaire was distributed to 1052 specialists in 14 Latin American countries. A descriptive analysis was carried out using statistical software. RESULTS: A total of 610 responses were received, for an overall response rate of 58.0%. Respondents favored offering teleconsultation as triage for post-cancer treatment follow-up (94.6%), neoadjuvant chemotherapy in advanced stage epithelial ovarian cancer (95.6%), and total hysterectomy with bilateral salpingo-oophorectomy and defining adjuvant treatment with histopathological features in early stage endometrial cancer (85.4%). Other questions showed agreement rates of over 64%, except for review of pathology results in person and use of upfront concurrent chemoradiation for early stage cervical cancer (disagreement 56.4% and 58.9%, respectively). CONCLUSION: Latin American specialists accepted some alternative management strategies for gynecological cancer care during the COVID-19 pandemic, which may reflect the region's particularities. The COVID-19 pandemic led Latin American specialists to accept alternative management strategies for gynecological cancer care, especially regarding surgical decisions.

Tumor desmoplásico de células pequeñas intraabdominal: informe de dos casos / Intraabdominal desmoplastic small cells tumors: report two cases

Antecedentes. El tumor desmoplástico de células pequeñas intraabdominal es raro, aparece principalmente en jóvenes y sin sitio de origen determinado. Métodos. Este es el informe de dos casos en una niña de 10 años de edad y una joven de 14 años,. El diagnóstico clínico establecido antes de la cirugía fue de tumor sólido pélvico multinodular probablemente de origen ovárico. El diagnóstico quirúrgico fue cáncer de ovario estadio III y IV respectivamente. La biopsia intraoperativa se reportó como un tumor maligno indiferenciado por lo que el procedimiento quirúrgico fue completado. Resultados. Los estudios inmunohistoquímicos demostraron diferenciación pleomórfica, con coexpresión para marcadores epiteliales mesenquimales y neurales. Conclusiones. Aunque este tumor es visto principalmente en varones, la presentación clínica el comportamiento polifenotípico lo distingue de otros tumores de células pequeñas redondas. El pronóstico es pobre