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Clin Transl Oncol ; 26(11): 2771-2782, 2024 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-39215938

RESUMO

Cervical cancer (CC) is the fourth most common cancer and the fourth leading cause of mortality in women worldwide. It is strongly associated with high-risk human papillomavirus infection. High-income countries that have implemented human papillomavirus (HPV) vaccination and screening programs have seen dramatic reductions in CC incidence, while developing countries where these programs are not available continue to experience high rates of CC deaths. In early-stage CC, the primary treatment is surgery or radiotherapy, whereas concurrent chemo-radiotherapy (CRT) remains the conventional approach in locally advanced stages until the upcoming approval of immunotherapy. The incorporation of immunotherapy in combination with chemotherapy (with or without bevacizumab) in first line and as monotherapy in second line after platinum-based chemotherapy, has significantly increased overall survival (OS) in recurrent or metastatic CC. The purpose of this guideline is to summarize the most relevant evidence in the diagnosis, treatment, and follow-up of CC and to provide evidence-based recommendations for clinical practice.


Assuntos
Neoplasias do Colo do Útero , Humanos , Neoplasias do Colo do Útero/terapia , Neoplasias do Colo do Útero/diagnóstico , Feminino , Oncologia/normas , Quimiorradioterapia , Infecções por Papillomavirus/terapia , Infecções por Papillomavirus/complicações , Sociedades Médicas , Vacinas contra Papillomavirus/uso terapêutico , Vacinas contra Papillomavirus/administração & dosagem , Imunoterapia/métodos , Estadiamento de Neoplasias
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