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.

Adenocarcinoma de endometrio / Adenocarcinoma of endometrium

Analiza que el adenocarcinoma de endometrio está situado en frecuencia por debajo del cáncer de cérvix y de ovario en nuestro instituto. El síntoma más frecuente es la hemorragia vaginal en mujeres post-menopáusicas, su diagnóstico preciso se logra en la mayoría de los casos con dilatación fraccional y legrado de endometrio. El tratamiento clásico ha sido la cirugía, la técnica más usada es la histerectomía total abdominal, y por lo menos un vaciamiento ganglionar regional. La sobrevida mejora y las posibilidades de recidiva disminuyen aún más si tenemos a la mano la radioterapia de contacto...