[Guidelines for surgical management of gynaecological cancer during pandemic COVID-19 period - FRANCOGYN group for the CNGOF].
Identifieur interne : 000170 ( Main/Exploration ); précédent : 000169; suivant : 000171[Guidelines for surgical management of gynaecological cancer during pandemic COVID-19 period - FRANCOGYN group for the CNGOF].
Auteurs : C. Akladios [France] ; H. Azais [France] ; M. Ballester [France] ; S. Bendifallah [France] ; P-A Bolze [France] ; N. Bourdel [France] ; A. Bricou [France] ; G. Canlorbe [France] ; X. Carcopino [France] ; P. Chauvet [France] ; P. Collinet [France] ; C. Coutant [France] ; Y. Dabi [France] ; L. Dion [France] ; T. Gauthier [France] ; O. Graesslin [France] ; C. Huchon [France] ; M. Koskas [France] ; F. Kridelka [Belgique] ; V. Lavoue [France] ; L. Lecointre [France] ; M. Mezzadri [France] ; C. Mimoun [France] ; L. Ouldamer [France] ; E. Raimond [France] ; C. Touboul [Belgique]Source :
- Gynecologie, obstetrique, fertilite & senologie [ 2468-7189 ] ; 2020.
Descripteurs français
- KwdFr :
- Betacoronavirus (MeSH), Femelle (MeSH), France (MeSH), Guides de bonnes pratiques cliniques comme sujet (MeSH), Humains (MeSH), Infections à coronavirus (complications), Infections à coronavirus (transmission), Interventions chirurgicales de cytoréduction (MeSH), Interventions chirurgicales mini-invasives (MeSH), Pandémies (MeSH), Pneumopathie virale (complications), Pneumopathie virale (transmission), Procédures de chirurgie gynécologique (effets indésirables), Sociétés médicales (MeSH), Tumeurs de l'appareil génital féminin (chirurgie), Tumeurs de l'appareil génital féminin (complications).
- MESH :
- chirurgie : Tumeurs de l'appareil génital féminin.
- effets indésirables : Infections à coronavirus, Pneumopathie virale, Procédures de chirurgie gynécologique, Tumeurs de l'appareil génital féminin.
- Betacoronavirus, Femelle, France, Guides de bonnes pratiques cliniques comme sujet, Humains, Infections à coronavirus, Interventions chirurgicales de cytoréduction, Interventions chirurgicales mini-invasives, Pandémies, Pneumopathie virale, Sociétés médicales.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Betacoronavirus (MeSH), Coronavirus Infections (complications), Coronavirus Infections (transmission), Cytoreduction Surgical Procedures (MeSH), Female (MeSH), France (MeSH), Genital Neoplasms, Female (complications), Genital Neoplasms, Female (surgery), Gynecologic Surgical Procedures (adverse effects), Humans (MeSH), Minimally Invasive Surgical Procedures (MeSH), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (transmission), Practice Guidelines as Topic (MeSH), Societies, Medical (MeSH).
- MESH :
- geographic : France.
- adverse effects : Gynecologic Surgical Procedures.
- complications : Coronavirus Infections, Genital Neoplasms, Female, Pneumonia, Viral.
- surgery : Genital Neoplasms, Female.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- Betacoronavirus, Cytoreduction Surgical Procedures, Female, Humans, Minimally Invasive Surgical Procedures, Pandemics, Practice Guidelines as Topic, Societies, Medical.
Abstract
INTRODUCTION
Recommendations for the management of patients with gynecological cancer during the COVID-19 pandemic period.
MATERIAL AND METHOD
Recommendations based on the consensus conference model.
RESULTS
In the case of a COVID-19 positive patient, surgical management should be postponed for at least 15 days. For cervical cancer, the place of surgery must be re-evaluated in relation to radiotherapy and Radio-Chemotherapy-Concomitant and the value of lymph node staging surgeries must be reviewed on a case-by-case basis. For advanced ovarian cancers, neo-adjuvant chemotherapy should be favored even if primary cytoreduction surgery could be envisaged. It is lawful not to offer hyperthermic intraperitoneal chemotherapy during a COVID-19 pandemic. In the case of patients who must undergo interval surgery, it is possible to continue the chemotherapy and to offer surgery after 6 cycles of chemotherapy. For early stage endometrial cancer, in case of low and intermediate preoperative ESMO risk, hysterectomy with bilateral annexectomy associated with a sentinel lymph node procedure should be favored. It is possible to consider postponing surgery for 1 to 2 months in low-risk endometrial cancers (FIGO Ia stage on MRI and grade 1-2 endometrioid cancer on endometrial biopsy). For high ESMO risk, it ispossible to favor the MSKCC algorithm (combining PET-CT and sentinel lymph node biopsy) in order to omit pelvic and lumbar-aortic lymphadenectomies.
CONCLUSION
During COVID-19 pandemic, patients suffering from cancer should not lose life chance, while limiting the risks associated with the virus.
DOI: 10.1016/j.gofs.2020.03.017
PubMed: 32222433
PubMed Central: PMC7103920
Affiliations:
- Belgique, France
- Alsace (région administrative), Auvergne (région administrative), Auvergne-Rhône-Alpes, Bourgogne, Bourgogne-Franche-Comté, Centre-Val de Loire, Champagne-Ardenne, Grand Est, Hauts-de-France, Limousin, Nord-Pas-de-Calais, Nouvelle-Aquitaine, Provence-Alpes-Côte d'Azur, Rhône-Alpes, Région Bretagne, Région Centre, Île-de-France
- Clermont-Ferrand, Dijon, Lille, Limoges, Lyon, Marseille, Paris, Poissy, Reims, Rennes, Strasbourg, Tours
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="Canlorbe, G" sort="Canlorbe, G" uniqKey="Canlorbe G" first="G" last="Canlorbe">G. Canlorbe</name>
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<author><name sortKey="Lavoue, V" sort="Lavoue, V" uniqKey="Lavoue V" first="V" last="Lavoue">V. Lavoue</name>
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<author><name sortKey="Lecointre, L" sort="Lecointre, L" uniqKey="Lecointre L" first="L" last="Lecointre">L. Lecointre</name>
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<author><name sortKey="Mimoun, C" sort="Mimoun, C" uniqKey="Mimoun C" first="C" last="Mimoun">C. Mimoun</name>
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<author><name sortKey="Ouldamer, L" sort="Ouldamer, L" uniqKey="Ouldamer L" first="L" last="Ouldamer">L. Ouldamer</name>
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<author><name sortKey="Touboul, C" sort="Touboul, C" uniqKey="Touboul C" first="C" last="Touboul">C. Touboul</name>
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<author><name sortKey="Bendifallah, S" sort="Bendifallah, S" uniqKey="Bendifallah S" first="S" last="Bendifallah">S. Bendifallah</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, hôpital Tenon, 75020 Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie obstétrique, hôpital Tenon, 75020 Paris</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bolze, P A" sort="Bolze, P A" uniqKey="Bolze P" first="P-A" last="Bolze">P-A Bolze</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, CHU Lyon Sud, 69000 Lyon, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie obstétrique, CHU Lyon Sud, 69000 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bourdel, N" sort="Bourdel, N" uniqKey="Bourdel N" first="N" last="Bourdel">N. Bourdel</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie obstétrique, CHU Clermont-Ferrand, 63000 Clermont-Ferrand</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Auvergne (région administrative)</region>
<settlement type="city">Clermont-Ferrand</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bricou, A" sort="Bricou, A" uniqKey="Bricou A" first="A" last="Bricou">A. Bricou</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, Dioconessess Croix Saint Simon, 75012 Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie, Dioconessess Croix Saint Simon, 75012 Paris</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Canlorbe, G" sort="Canlorbe, G" uniqKey="Canlorbe G" first="G" last="Canlorbe">G. Canlorbe</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, hôpital la Pitié-Salpêtrière, 75013 Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie, hôpital la Pitié-Salpêtrière, 75013 Paris</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Carcopino, X" sort="Carcopino, X" uniqKey="Carcopino X" first="X" last="Carcopino">X. Carcopino</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gyécologie, La Timone, 13000 Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gyécologie, La Timone, 13000 Marseille</wicri:regionArea>
<placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Chauvet, P" sort="Chauvet, P" uniqKey="Chauvet P" first="P" last="Chauvet">P. Chauvet</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie obstétrique, CHU Clermont-Ferrand, 63000 Clermont-Ferrand</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Auvergne (région administrative)</region>
<settlement type="city">Clermont-Ferrand</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Collinet, P" sort="Collinet, P" uniqKey="Collinet P" first="P" last="Collinet">P. Collinet</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, hôpital Jeanne de Flandres, 59000 Lille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie, hôpital Jeanne de Flandres, 59000 Lille</wicri:regionArea>
<placeName><region type="region" nuts="2">Hauts-de-France</region>
<region type="old region" nuts="2">Nord-Pas-de-Calais</region>
<settlement type="city">Lille</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Coutant, C" sort="Coutant, C" uniqKey="Coutant C" first="C" last="Coutant">C. Coutant</name>
<affiliation wicri:level="3"><nlm:affiliation>Centre de lutte contre le cancer, 21000 Dijon, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Centre de lutte contre le cancer, 21000 Dijon</wicri:regionArea>
<placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region>
<region type="old region" nuts="2">Bourgogne</region>
<settlement type="city">Dijon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Dabi, Y" sort="Dabi, Y" uniqKey="Dabi Y" first="Y" last="Dabi">Y. Dabi</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, hôpital Tenon, 75020 Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie obstétrique, hôpital Tenon, 75020 Paris</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Dion, L" sort="Dion, L" uniqKey="Dion L" first="L" last="Dion">L. Dion</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, CHU hôpital Sud, 16, boulevard de Bulgarie, 35000 Rennes, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie, CHU hôpital Sud, 16, boulevard de Bulgarie, 35000 Rennes</wicri:regionArea>
<placeName><region type="region" nuts="2">Région Bretagne</region>
<settlement type="city">Rennes</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Gauthier, T" sort="Gauthier, T" uniqKey="Gauthier T" first="T" last="Gauthier">T. Gauthier</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, CHU, 87000 Limoges, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie obstétrique, CHU, 87000 Limoges</wicri:regionArea>
<placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region>
<region type="old region" nuts="2">Limousin</region>
<settlement type="city">Limoges</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Graesslin, O" sort="Graesslin, O" uniqKey="Graesslin O" first="O" last="Graesslin">O. Graesslin</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, CHU, 51000 Reims, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie obstétrique, CHU, 51000 Reims</wicri:regionArea>
<placeName><region type="region" nuts="2">Grand Est</region>
<region type="old region" nuts="2">Champagne-Ardenne</region>
<settlement type="city">Reims</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Huchon, C" sort="Huchon, C" uniqKey="Huchon C" first="C" last="Huchon">C. Huchon</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, CHI Poissy, 78300 Poissy, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie obstétrique, CHI Poissy, 78300 Poissy</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Poissy</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Koskas, M" sort="Koskas, M" uniqKey="Koskas M" first="M" last="Koskas">M. Koskas</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, hôpital Bichat, 75018 Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie obstétrique, hôpital Bichat, 75018 Paris</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Kridelka, F" sort="Kridelka, F" uniqKey="Kridelka F" first="F" last="Kridelka">F. Kridelka</name>
<affiliation wicri:level="1"><nlm:affiliation>Service de chirurgie oncologique, CHU, Liège, Belgique.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Service de chirurgie oncologique, CHU, Liège</wicri:regionArea>
<wicri:noRegion>Liège</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lavoue, V" sort="Lavoue, V" uniqKey="Lavoue V" first="V" last="Lavoue">V. Lavoue</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, CHU hôpital Sud, 16, boulevard de Bulgarie, 35000 Rennes, France. Electronic address: Vincent.lavoue@gmail.com.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie, CHU hôpital Sud, 16, boulevard de Bulgarie, 35000 Rennes</wicri:regionArea>
<placeName><region type="region" nuts="2">Région Bretagne</region>
<settlement type="city">Rennes</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lecointre, L" sort="Lecointre, L" uniqKey="Lecointre L" first="L" last="Lecointre">L. Lecointre</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, hôpital Tenon, 75020 Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie obstétrique, hôpital Tenon, 75020 Paris</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Mezzadri, M" sort="Mezzadri, M" uniqKey="Mezzadri M" first="M" last="Mezzadri">M. Mezzadri</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, hôpital Lariboisière, 75010 Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie, hôpital Lariboisière, 75010 Paris</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Mimoun, C" sort="Mimoun, C" uniqKey="Mimoun C" first="C" last="Mimoun">C. Mimoun</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, hôpital Lariboisière, 75010 Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie, hôpital Lariboisière, 75010 Paris</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ouldamer, L" sort="Ouldamer, L" uniqKey="Ouldamer L" first="L" last="Ouldamer">L. Ouldamer</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, CHU Tours, 37000 Tours, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie, CHU Tours, 37000 Tours</wicri:regionArea>
<placeName><region type="region" nuts="2">Centre-Val de Loire</region>
<region type="old region" nuts="2">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Raimond, E" sort="Raimond, E" uniqKey="Raimond E" first="E" last="Raimond">E. Raimond</name>
<affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, CHU, 51000 Reims, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de gynécologie obstétrique, CHU, 51000 Reims</wicri:regionArea>
<placeName><region type="region" nuts="2">Grand Est</region>
<region type="old region" nuts="2">Champagne-Ardenne</region>
<settlement type="city">Reims</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Touboul, C" sort="Touboul, C" uniqKey="Touboul C" first="C" last="Touboul">C. Touboul</name>
<affiliation wicri:level="1"><nlm:affiliation>Service de chirurgie oncologique, CHU, Liège, Belgique.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Service de chirurgie oncologique, CHU, Liège</wicri:regionArea>
<wicri:noRegion>Liège</wicri:noRegion>
</affiliation>
</author>
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<series><title level="j">Gynecologie, obstetrique, fertilite & senologie</title>
<idno type="eISSN">2468-7189</idno>
<imprint><date when="2020" type="published">2020</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Betacoronavirus (MeSH)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Cytoreduction Surgical Procedures (MeSH)</term>
<term>Female (MeSH)</term>
<term>France (MeSH)</term>
<term>Genital Neoplasms, Female (complications)</term>
<term>Genital Neoplasms, Female (surgery)</term>
<term>Gynecologic Surgical Procedures (adverse effects)</term>
<term>Humans (MeSH)</term>
<term>Minimally Invasive Surgical Procedures (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (complications)</term>
<term>Pneumonia, Viral (transmission)</term>
<term>Practice Guidelines as Topic (MeSH)</term>
<term>Societies, Medical (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Betacoronavirus (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>France (MeSH)</term>
<term>Guides de bonnes pratiques cliniques comme sujet (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (complications)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Interventions chirurgicales de cytoréduction (MeSH)</term>
<term>Interventions chirurgicales mini-invasives (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (complications)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Procédures de chirurgie gynécologique (effets indésirables)</term>
<term>Sociétés médicales (MeSH)</term>
<term>Tumeurs de l'appareil génital féminin (chirurgie)</term>
<term>Tumeurs de l'appareil génital féminin (complications)</term>
</keywords>
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</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Gynecologic Surgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Tumeurs de l'appareil génital féminin</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term>
<term>Genital Neoplasms, Female</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
<term>Procédures de chirurgie gynécologique</term>
<term>Tumeurs de l'appareil génital féminin</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Genital Neoplasms, Female</term>
</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Betacoronavirus</term>
<term>Cytoreduction Surgical Procedures</term>
<term>Female</term>
<term>Humans</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Pandemics</term>
<term>Practice Guidelines as Topic</term>
<term>Societies, Medical</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Betacoronavirus</term>
<term>Femelle</term>
<term>France</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Infections à coronavirus</term>
<term>Interventions chirurgicales de cytoréduction</term>
<term>Interventions chirurgicales mini-invasives</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
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<front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b>
</p>
<p>Recommendations for the management of patients with gynecological cancer during the COVID-19 pandemic period.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHOD</b>
</p>
<p>Recommendations based on the consensus conference model.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>In the case of a COVID-19 positive patient, surgical management should be postponed for at least 15 days. For cervical cancer, the place of surgery must be re-evaluated in relation to radiotherapy and Radio-Chemotherapy-Concomitant and the value of lymph node staging surgeries must be reviewed on a case-by-case basis. For advanced ovarian cancers, neo-adjuvant chemotherapy should be favored even if primary cytoreduction surgery could be envisaged. It is lawful not to offer hyperthermic intraperitoneal chemotherapy during a COVID-19 pandemic. In the case of patients who must undergo interval surgery, it is possible to continue the chemotherapy and to offer surgery after 6 cycles of chemotherapy. For early stage endometrial cancer, in case of low and intermediate preoperative ESMO risk, hysterectomy with bilateral annexectomy associated with a sentinel lymph node procedure should be favored. It is possible to consider postponing surgery for 1 to 2 months in low-risk endometrial cancers (FIGO Ia stage on MRI and grade 1-2 endometrioid cancer on endometrial biopsy). For high ESMO risk, it ispossible to favor the MSKCC algorithm (combining PET-CT and sentinel lymph node biopsy) in order to omit pelvic and lumbar-aortic lymphadenectomies.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>During COVID-19 pandemic, patients suffering from cancer should not lose life chance, while limiting the risks associated with the virus.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32222433</PMID>
<DateCompleted><Year>2020</Year>
<Month>05</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>05</Month>
<Day>08</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2468-7189</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>48</Volume>
<Issue>5</Issue>
<PubDate><Year>2020</Year>
<Month>05</Month>
</PubDate>
</JournalIssue>
<Title>Gynecologie, obstetrique, fertilite & senologie</Title>
<ISOAbbreviation>Gynecol Obstet Fertil Senol</ISOAbbreviation>
</Journal>
<ArticleTitle>[Guidelines for surgical management of gynaecological cancer during pandemic COVID-19 period - FRANCOGYN group for the CNGOF].</ArticleTitle>
<Pagination><MedlinePgn>444-447</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S2468-7189(20)30130-6</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.gofs.2020.03.017</ELocationID>
<Abstract><AbstractText Label="INTRODUCTION">Recommendations for the management of patients with gynecological cancer during the COVID-19 pandemic period.</AbstractText>
<AbstractText Label="MATERIAL AND METHOD">Recommendations based on the consensus conference model.</AbstractText>
<AbstractText Label="RESULTS">In the case of a COVID-19 positive patient, surgical management should be postponed for at least 15 days. For cervical cancer, the place of surgery must be re-evaluated in relation to radiotherapy and Radio-Chemotherapy-Concomitant and the value of lymph node staging surgeries must be reviewed on a case-by-case basis. For advanced ovarian cancers, neo-adjuvant chemotherapy should be favored even if primary cytoreduction surgery could be envisaged. It is lawful not to offer hyperthermic intraperitoneal chemotherapy during a COVID-19 pandemic. In the case of patients who must undergo interval surgery, it is possible to continue the chemotherapy and to offer surgery after 6 cycles of chemotherapy. For early stage endometrial cancer, in case of low and intermediate preoperative ESMO risk, hysterectomy with bilateral annexectomy associated with a sentinel lymph node procedure should be favored. It is possible to consider postponing surgery for 1 to 2 months in low-risk endometrial cancers (FIGO Ia stage on MRI and grade 1-2 endometrioid cancer on endometrial biopsy). For high ESMO risk, it ispossible to favor the MSKCC algorithm (combining PET-CT and sentinel lymph node biopsy) in order to omit pelvic and lumbar-aortic lymphadenectomies.</AbstractText>
<AbstractText Label="CONCLUSION">During COVID-19 pandemic, patients suffering from cancer should not lose life chance, while limiting the risks associated with the virus.</AbstractText>
<CopyrightInformation>Copyright © 2020 Elsevier Masson SAS. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Akladios</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie, CHU de Hautepierre, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Azais</LastName>
<ForeName>H</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie, hôpital la Pitié-Salpêtrière, 75013 Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ballester</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie, Dioconessess Croix Saint Simon, 75012 Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bendifallah</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie obstétrique, hôpital Tenon, 75020 Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bolze</LastName>
<ForeName>P-A</ForeName>
<Initials>PA</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie obstétrique, CHU Lyon Sud, 69000 Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bourdel</LastName>
<ForeName>N</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie obstétrique, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bricou</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie, Dioconessess Croix Saint Simon, 75012 Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Canlorbe</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie, hôpital la Pitié-Salpêtrière, 75013 Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Carcopino</LastName>
<ForeName>X</ForeName>
<Initials>X</Initials>
<AffiliationInfo><Affiliation>Service de gyécologie, La Timone, 13000 Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chauvet</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie obstétrique, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Collinet</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie, hôpital Jeanne de Flandres, 59000 Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Coutant</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Centre de lutte contre le cancer, 21000 Dijon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dabi</LastName>
<ForeName>Y</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie obstétrique, hôpital Tenon, 75020 Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dion</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie, CHU hôpital Sud, 16, boulevard de Bulgarie, 35000 Rennes, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gauthier</LastName>
<ForeName>T</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie obstétrique, CHU, 87000 Limoges, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Graesslin</LastName>
<ForeName>O</ForeName>
<Initials>O</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie obstétrique, CHU, 51000 Reims, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Huchon</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie obstétrique, CHI Poissy, 78300 Poissy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Koskas</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie obstétrique, hôpital Bichat, 75018 Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kridelka</LastName>
<ForeName>F</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Service de chirurgie oncologique, CHU, Liège, Belgique.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lavoue</LastName>
<ForeName>V</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie, CHU hôpital Sud, 16, boulevard de Bulgarie, 35000 Rennes, France. Electronic address: Vincent.lavoue@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lecointre</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie obstétrique, hôpital Tenon, 75020 Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mezzadri</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie, hôpital Lariboisière, 75010 Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mimoun</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie, hôpital Lariboisière, 75010 Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ouldamer</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie, CHU Tours, 37000 Tours, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Raimond</LastName>
<ForeName>E</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Service de gynécologie obstétrique, CHU, 51000 Reims, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Touboul</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Service de chirurgie oncologique, CHU, Liège, Belgique.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>fre</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<VernacularTitle>Prise en charge chirurgicale des cancers gynécologiques en période de pandémie COVID-19 – Recommandations du Groupe FRANCOGYN pour le CNGOF.</VernacularTitle>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>03</Month>
<Day>25</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>France</Country>
<MedlineTA>Gynecol Obstet Fertil Senol</MedlineTA>
<NlmUniqueID>101693805</NlmUniqueID>
<ISSNLinking>2468-7189</ISSNLinking>
</MedlineJournalInfo>
<SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName>
<SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName>
</SupplMeshList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D065426" MajorTopicYN="N">Cytoreduction Surgical Procedures</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005833" MajorTopicYN="N">Genital Neoplasms, Female</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013509" MajorTopicYN="Y">Gynecologic Surgical Procedures</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019060" MajorTopicYN="N">Minimally Invasive Surgical Procedures</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017410" MajorTopicYN="N">Practice Guidelines as Topic</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012955" MajorTopicYN="N">Societies, Medical</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword>
<Keyword MajorTopicYN="Y">Cancer gynécologique</Keyword>
<Keyword MajorTopicYN="Y">Guideline</Keyword>
<Keyword MajorTopicYN="Y">Gynaecological cancer</Keyword>
<Keyword MajorTopicYN="Y">Management</Keyword>
<Keyword MajorTopicYN="Y">Prise en charge</Keyword>
<Keyword MajorTopicYN="Y">Recommandation</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
<Month>3</Month>
<Day>31</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>5</Month>
<Day>7</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2020</Year>
<Month>3</Month>
<Day>31</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">32222433</ArticleId>
<ArticleId IdType="pii">S2468-7189(20)30130-6</ArticleId>
<ArticleId IdType="doi">10.1016/j.gofs.2020.03.017</ArticleId>
<ArticleId IdType="pmc">PMC7103920</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Belgique</li>
<li>France</li>
</country>
<region><li>Alsace (région administrative)</li>
<li>Auvergne (région administrative)</li>
<li>Auvergne-Rhône-Alpes</li>
<li>Bourgogne</li>
<li>Bourgogne-Franche-Comté</li>
<li>Centre-Val de Loire</li>
<li>Champagne-Ardenne</li>
<li>Grand Est</li>
<li>Hauts-de-France</li>
<li>Limousin</li>
<li>Nord-Pas-de-Calais</li>
<li>Nouvelle-Aquitaine</li>
<li>Provence-Alpes-Côte d'Azur</li>
<li>Rhône-Alpes</li>
<li>Région Bretagne</li>
<li>Région Centre</li>
<li>Île-de-France</li>
</region>
<settlement><li>Clermont-Ferrand</li>
<li>Dijon</li>
<li>Lille</li>
<li>Limoges</li>
<li>Lyon</li>
<li>Marseille</li>
<li>Paris</li>
<li>Poissy</li>
<li>Reims</li>
<li>Rennes</li>
<li>Strasbourg</li>
<li>Tours</li>
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<name sortKey="Ballester, M" sort="Ballester, M" uniqKey="Ballester M" first="M" last="Ballester">M. Ballester</name>
<name sortKey="Bendifallah, S" sort="Bendifallah, S" uniqKey="Bendifallah S" first="S" last="Bendifallah">S. Bendifallah</name>
<name sortKey="Bolze, P A" sort="Bolze, P A" uniqKey="Bolze P" first="P-A" last="Bolze">P-A Bolze</name>
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<name sortKey="Canlorbe, G" sort="Canlorbe, G" uniqKey="Canlorbe G" first="G" last="Canlorbe">G. Canlorbe</name>
<name sortKey="Carcopino, X" sort="Carcopino, X" uniqKey="Carcopino X" first="X" last="Carcopino">X. Carcopino</name>
<name sortKey="Chauvet, P" sort="Chauvet, P" uniqKey="Chauvet P" first="P" last="Chauvet">P. Chauvet</name>
<name sortKey="Collinet, P" sort="Collinet, P" uniqKey="Collinet P" first="P" last="Collinet">P. Collinet</name>
<name sortKey="Coutant, C" sort="Coutant, C" uniqKey="Coutant C" first="C" last="Coutant">C. Coutant</name>
<name sortKey="Dabi, Y" sort="Dabi, Y" uniqKey="Dabi Y" first="Y" last="Dabi">Y. Dabi</name>
<name sortKey="Dion, L" sort="Dion, L" uniqKey="Dion L" first="L" last="Dion">L. Dion</name>
<name sortKey="Gauthier, T" sort="Gauthier, T" uniqKey="Gauthier T" first="T" last="Gauthier">T. Gauthier</name>
<name sortKey="Graesslin, O" sort="Graesslin, O" uniqKey="Graesslin O" first="O" last="Graesslin">O. Graesslin</name>
<name sortKey="Huchon, C" sort="Huchon, C" uniqKey="Huchon C" first="C" last="Huchon">C. Huchon</name>
<name sortKey="Koskas, M" sort="Koskas, M" uniqKey="Koskas M" first="M" last="Koskas">M. Koskas</name>
<name sortKey="Lavoue, V" sort="Lavoue, V" uniqKey="Lavoue V" first="V" last="Lavoue">V. Lavoue</name>
<name sortKey="Lecointre, L" sort="Lecointre, L" uniqKey="Lecointre L" first="L" last="Lecointre">L. Lecointre</name>
<name sortKey="Mezzadri, M" sort="Mezzadri, M" uniqKey="Mezzadri M" first="M" last="Mezzadri">M. Mezzadri</name>
<name sortKey="Mimoun, C" sort="Mimoun, C" uniqKey="Mimoun C" first="C" last="Mimoun">C. Mimoun</name>
<name sortKey="Ouldamer, L" sort="Ouldamer, L" uniqKey="Ouldamer L" first="L" last="Ouldamer">L. Ouldamer</name>
<name sortKey="Raimond, E" sort="Raimond, E" uniqKey="Raimond E" first="E" last="Raimond">E. Raimond</name>
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<name sortKey="Touboul, C" sort="Touboul, C" uniqKey="Touboul C" first="C" last="Touboul">C. Touboul</name>
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