Recommendations for the surgical management of gynecological cancers during the COVID-19 pandemic - FRANCOGYN group for the CNGOF.
Identifieur interne : 000789 ( Main/Exploration ); précédent : 000788; suivant : 000790Recommendations for the surgical management of gynecological cancers during the COVID-19 pandemic - FRANCOGYN group for the CNGOF.
Auteurs : Cherif Akladios [France] ; Henri Azais [France] ; Marcos Ballester [France] ; Sofiane Bendifallah [France] ; Pierre-Adrien Bolze [France] ; Nicolas Bourdel [France] ; Alexandre Bricou [France] ; Geoffroy Canlorbe [France] ; Xavier Carcopino [France] ; Pauline Chauvet [France] ; Pierre Collinet [France] ; Charles Coutant [France] ; Yohann Dabi [France] ; Ludivine Dion [France] ; Tristan Gauthier [France] ; Olivier Graesslin [France] ; Cyrille Huchon [France] ; Martin Koskas [France] ; Frederic Kridelka [France] ; Vincent Lavoue [France] ; Lise Lecointre [France] ; Matthieu Mezzadri [France] ; Camille Mimoun [France] ; Lobna Ouldamer [France] ; Emilie Raimond [France] ; Cyril Touboul [France]Source :
- Journal of gynecology obstetrics and human reproduction [ 2468-7847 ] ; 2020.
Descripteurs français
- KwdFr :
- Betacoronavirus (MeSH), Communication interdisciplinaire (MeSH), Femelle (MeSH), France (MeSH), Gynécologie (MeSH), Humains (MeSH), Infections à coronavirus (complications), Infections à coronavirus (prévention et contrôle), Infections à coronavirus (épidémiologie), Obstétrique (MeSH), Pandémies (prévention et contrôle), Pneumopathie virale (complications), Pneumopathie virale (prévention et contrôle), Pneumopathie virale (épidémiologie), Risque (MeSH), Récepteurs d'écotaxie des lymphocytes (MeSH), Sociétés médicales (MeSH), Traitement médicamenteux adjuvant (MeSH), Tumeurs de l'appareil génital féminin (anatomopathologie), Tumeurs de l'appareil génital féminin (chirurgie), Tumeurs de l'appareil génital féminin (complications), Tumeurs de l'appareil génital féminin (thérapie), Tumeurs de l'endomètre (anatomopathologie), Tumeurs de l'endomètre (chirurgie), Tumeurs de l'ovaire (anatomopathologie), Tumeurs de l'ovaire (traitement médicamenteux), Tumeurs de la vulve (chirurgie), Tumeurs du col de l'utérus (thérapie), Tumeurs du vagin (thérapie), Tumeurs trophoblastiques (traitement médicamenteux).
- MESH :
- anatomopathologie : Tumeurs de l'appareil génital féminin, Tumeurs de l'endomètre, Tumeurs de l'ovaire.
- chirurgie : Tumeurs de l'appareil génital féminin, Tumeurs de l'endomètre, Tumeurs de la vulve.
- prévention et contrôle : Infections à coronavirus, Pandémies, Pneumopathie virale.
- thérapie : Tumeurs de l'appareil génital féminin, Tumeurs du col de l'utérus, Tumeurs du vagin.
- traitement médicamenteux : Tumeurs de l'ovaire, Tumeurs trophoblastiques.
- épidémiologie : Infections à coronavirus, Pneumopathie virale.
- Betacoronavirus, Communication interdisciplinaire, Femelle, France, Gynécologie, Humains, Infections à coronavirus, Obstétrique, Pneumopathie virale, Risque, Récepteurs d'écotaxie des lymphocytes, Sociétés médicales, Traitement médicamenteux adjuvant, Tumeurs de l'appareil génital féminin.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Betacoronavirus (MeSH), Chemotherapy, Adjuvant (MeSH), Coronavirus Infections (complications), Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), Endometrial Neoplasms (pathology), Endometrial Neoplasms (surgery), Female (MeSH), France (MeSH), Genital Neoplasms, Female (complications), Genital Neoplasms, Female (pathology), Genital Neoplasms, Female (surgery), Genital Neoplasms, Female (therapy), Gynecology (MeSH), Humans (MeSH), Interdisciplinary Communication (MeSH), Obstetrics (MeSH), Ovarian Neoplasms (drug therapy), Ovarian Neoplasms (pathology), Pandemics (prevention & control), Pneumonia, Viral (complications), Pneumonia, Viral (epidemiology), Pneumonia, Viral (prevention & control), Receptors, Lymphocyte Homing (MeSH), Risk (MeSH), Societies, Medical (MeSH), Trophoblastic Neoplasms (drug therapy), Uterine Cervical Neoplasms (therapy), Vaginal Neoplasms (therapy), Vulvar Neoplasms (surgery).
- MESH :
- chemical : Receptors, Lymphocyte Homing.
- geographic : France.
- complications : Coronavirus Infections, Genital Neoplasms, Female, Pneumonia, Viral.
- drug therapy : Ovarian Neoplasms, Trophoblastic Neoplasms.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- pathology : Endometrial Neoplasms, Genital Neoplasms, Female, Ovarian Neoplasms.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- surgery : Endometrial Neoplasms, Genital Neoplasms, Female, Vulvar Neoplasms.
- therapy : Genital Neoplasms, Female, Uterine Cervical Neoplasms, Vaginal Neoplasms.
- Betacoronavirus, Chemotherapy, Adjuvant, Female, Gynecology, Humans, Interdisciplinary Communication, Obstetrics, Risk, Societies, Medical.
Abstract
INTRODUCTION
In the context of the COVID-19 pandemic, specific recommendations are required for the management of patients with gynecologic cancer.
MATERIALS AND METHOD
The FRANCOGYN group of the National College of French Gynecologists and Obstetricians (CNGOF) convened to develop recommendations based on the consensus conference model.
RESULTS
If a patient with a gynecologic cancer presents with COVID-19, surgical management should be postponed for at least 15 days. For cervical cancer, radiotherapy and concomitant radiochemotherapy could replace surgery as first-line treatment and the value of lymph node staging should be reviewed on a case-by-case basis. For advanced ovarian cancers, neoadjuvant chemotherapy should be preferred over primary cytoreduction surgery. It is legitimate not to perform hyperthermic intraperitoneal chemotherapy during the COVID-19 pandemic. For patients who are scheduled to undergo interval surgery, chemotherapy can be continued and surgery performed after 6 cycles. For patients with early stage endometrial cancer of low and intermediate preoperative ESMO risk, hysterectomy with bilateral adnexectomy combined with a sentinel lymph node procedure is recommended. Surgery can be postponed for 1-2 months in low-risk endometrial cancers (FIGO Ia stage on MRI and grade 1-2 endometrioid cancer on endometrial biopsy). For patients of high ESMO risk, the MSKCC algorithm (combining PET-CT and sentinel lymph node biopsy) should be applied to avoid pelvic and lumbar-aortic lymphadenectomy.
CONCLUSION
During the COVID-19 pandemic, management of a patient with cancer should be adapted to limit the risks associated with the virus without incurring loss of chance.
DOI: 10.1016/j.jogoh.2020.101729
PubMed: 32247066
PubMed Central: PMC7118621
Affiliations:
- France
- Alsace (région administrative), Auvergne (région administrative), Auvergne-Rhône-Alpes, Centre-Val de Loire, Champagne-Ardenne, Grand Est, Limousin, Nouvelle-Aquitaine, Provence-Alpes-Côte d'Azur, Rhône-Alpes, Région Bretagne, Région Centre, Île-de-France
- Clermont-Ferrand, Limoges, Lyon, Marseille, Paris, Poissy, Reims, Rennes, Strasbourg, Tours
Links toward previous steps (curation, corpus...)
Le document en format XML
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wicri:level="1"><nlm:affiliation>Centre de Lutte Contre le Cancer, 21 000 Dijon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre de Lutte Contre le Cancer, 21 000 Dijon</wicri:regionArea><wicri:noRegion>21 000 Dijon</wicri:noRegion><wicri:noRegion>21 000 Dijon</wicri:noRegion></affiliation></author><author><name sortKey="Dabi, Yohann" sort="Dabi, Yohann" uniqKey="Dabi Y" first="Yohann" last="Dabi">Yohann Dabi</name><affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, HôpitalTenon, 75020 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de gynécologie obstétrique, HôpitalTenon, 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, Ludivine" sort="Dion, Ludivine" uniqKey="Dion L" first="Ludivine" last="Dion">Ludivine 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type="city">Limoges</settlement></placeName></affiliation></author><author><name sortKey="Graesslin, Olivier" sort="Graesslin, Olivier" uniqKey="Graesslin O" first="Olivier" last="Graesslin">Olivier 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, Cyrille" sort="Huchon, Cyrille" uniqKey="Huchon C" first="Cyrille" last="Huchon">Cyrille 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, Martin" sort="Koskas, Martin" uniqKey="Koskas M" first="Martin" last="Koskas">Martin Koskas</name><affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, Hopital Bichat, 75018 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de gynécologie obstétrique, Hopital 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, Frederic" sort="Kridelka, Frederic" uniqKey="Kridelka F" first="Frederic" last="Kridelka">Frederic Kridelka</name><affiliation wicri:level="1"><nlm:affiliation>Service de chirurgie oncologique, CHU, Liege, Belgique, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de chirurgie oncologique, CHU, Liege, Belgique</wicri:regionArea><wicri:noRegion>Belgique</wicri:noRegion><wicri:noRegion>Belgique</wicri:noRegion></affiliation></author><author><name sortKey="Lavoue, Vincent" sort="Lavoue, Vincent" uniqKey="Lavoue V" first="Vincent" last="Lavoue">Vincent Lavoue</name><affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, CHU Hôpital Sud, 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, 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, Lise" sort="Lecointre, Lise" uniqKey="Lecointre L" first="Lise" last="Lecointre">Lise Lecointre</name><affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, CHU de Hautepierre, 67000 Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de gynécologie, CHU de Hautepierre, 67000 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Mezzadri, Matthieu" sort="Mezzadri, Matthieu" uniqKey="Mezzadri M" first="Matthieu" last="Mezzadri">Matthieu 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, Camille" sort="Mimoun, Camille" uniqKey="Mimoun C" first="Camille" last="Mimoun">Camille 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, Lobna" sort="Ouldamer, Lobna" uniqKey="Ouldamer L" first="Lobna" last="Ouldamer">Lobna 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, Emilie" sort="Raimond, Emilie" uniqKey="Raimond E" first="Emilie" last="Raimond">Emilie 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, Cyril" sort="Touboul, Cyril" uniqKey="Touboul C" first="Cyril" last="Touboul">Cyril Touboul</name><affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, HôpitalTenon, 75020 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de gynécologie obstétrique, HôpitalTenon, 75020 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32247066</idno><idno type="pmid">32247066</idno><idno type="doi">10.1016/j.jogoh.2020.101729</idno><idno 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Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Azais, Henri" sort="Azais, Henri" uniqKey="Azais H" first="Henri" last="Azais">Henri Azais</name><affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, Hopital la Pitié Salpetriee, 75013 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de gynécologie, Hopital la Pitié Salpetriee, 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="Ballester, Marcos" sort="Ballester, Marcos" uniqKey="Ballester M" first="Marcos" last="Ballester">Marcos Ballester</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="Bendifallah, Sofiane" sort="Bendifallah, Sofiane" uniqKey="Bendifallah S" first="Sofiane" last="Bendifallah">Sofiane Bendifallah</name><affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, HôpitalTenon, 75020 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de gynécologie obstétrique, HôpitalTenon, 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, Pierre Adrien" sort="Bolze, Pierre Adrien" uniqKey="Bolze P" first="Pierre-Adrien" last="Bolze">Pierre-Adrien 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, Nicolas" sort="Bourdel, Nicolas" uniqKey="Bourdel N" first="Nicolas" last="Bourdel">Nicolas 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, Alexandre" sort="Bricou, Alexandre" uniqKey="Bricou A" first="Alexandre" last="Bricou">Alexandre 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, Geoffroy" sort="Canlorbe, Geoffroy" uniqKey="Canlorbe G" first="Geoffroy" last="Canlorbe">Geoffroy Canlorbe</name><affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, Hopital la Pitié Salpetriee, 75013 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de gynécologie, Hopital la Pitié Salpetriee, 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, Xavier" sort="Carcopino, Xavier" uniqKey="Carcopino X" first="Xavier" last="Carcopino">Xavier 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, Pauline" sort="Chauvet, Pauline" uniqKey="Chauvet P" first="Pauline" last="Chauvet">Pauline 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, Pierre" sort="Collinet, Pierre" uniqKey="Collinet P" first="Pierre" last="Collinet">Pierre Collinet</name><affiliation wicri:level="1"><nlm:affiliation>Service de gynécologie, Hôpital Jeanne de Flandres, 59 000 Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de gynécologie, Hôpital Jeanne de Flandres, 59 000 Lille</wicri:regionArea><wicri:noRegion>59 000 Lille</wicri:noRegion><wicri:noRegion>59 000 Lille</wicri:noRegion></affiliation></author><author><name sortKey="Coutant, Charles" sort="Coutant, Charles" uniqKey="Coutant C" first="Charles" last="Coutant">Charles Coutant</name><affiliation wicri:level="1"><nlm:affiliation>Centre de Lutte Contre le Cancer, 21 000 Dijon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre de Lutte Contre le Cancer, 21 000 Dijon</wicri:regionArea><wicri:noRegion>21 000 Dijon</wicri:noRegion><wicri:noRegion>21 000 Dijon</wicri:noRegion></affiliation></author><author><name sortKey="Dabi, Yohann" sort="Dabi, Yohann" uniqKey="Dabi Y" first="Yohann" last="Dabi">Yohann Dabi</name><affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, HôpitalTenon, 75020 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de gynécologie obstétrique, HôpitalTenon, 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, Ludivine" sort="Dion, Ludivine" uniqKey="Dion L" first="Ludivine" last="Dion">Ludivine Dion</name><affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, CHU Hôpital Sud, 35000 Rennes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de gynécologie, CHU Hôpital Sud, 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, Tristan" sort="Gauthier, Tristan" uniqKey="Gauthier T" first="Tristan" last="Gauthier">Tristan 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, Olivier" sort="Graesslin, Olivier" uniqKey="Graesslin O" first="Olivier" last="Graesslin">Olivier 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, Cyrille" sort="Huchon, Cyrille" uniqKey="Huchon C" first="Cyrille" last="Huchon">Cyrille 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, Martin" sort="Koskas, Martin" uniqKey="Koskas M" first="Martin" last="Koskas">Martin Koskas</name><affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, Hopital Bichat, 75018 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de gynécologie obstétrique, Hopital 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, Frederic" sort="Kridelka, Frederic" uniqKey="Kridelka F" first="Frederic" last="Kridelka">Frederic Kridelka</name><affiliation wicri:level="1"><nlm:affiliation>Service de chirurgie oncologique, CHU, Liege, Belgique, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de chirurgie oncologique, CHU, Liege, Belgique</wicri:regionArea><wicri:noRegion>Belgique</wicri:noRegion><wicri:noRegion>Belgique</wicri:noRegion></affiliation></author><author><name sortKey="Lavoue, Vincent" sort="Lavoue, Vincent" uniqKey="Lavoue V" first="Vincent" last="Lavoue">Vincent Lavoue</name><affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, CHU Hôpital Sud, 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, 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, Lise" sort="Lecointre, Lise" uniqKey="Lecointre L" first="Lise" last="Lecointre">Lise Lecointre</name><affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie, CHU de Hautepierre, 67000 Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de gynécologie, CHU de Hautepierre, 67000 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Mezzadri, Matthieu" sort="Mezzadri, Matthieu" uniqKey="Mezzadri M" first="Matthieu" last="Mezzadri">Matthieu 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, Camille" sort="Mimoun, Camille" uniqKey="Mimoun C" first="Camille" last="Mimoun">Camille 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, Lobna" sort="Ouldamer, Lobna" uniqKey="Ouldamer L" first="Lobna" last="Ouldamer">Lobna 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, Emilie" sort="Raimond, Emilie" uniqKey="Raimond E" first="Emilie" last="Raimond">Emilie 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, Cyril" sort="Touboul, Cyril" uniqKey="Touboul C" first="Cyril" last="Touboul">Cyril Touboul</name><affiliation wicri:level="3"><nlm:affiliation>Service de gynécologie obstétrique, HôpitalTenon, 75020 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de gynécologie obstétrique, HôpitalTenon, 75020 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal of gynecology obstetrics and human reproduction</title><idno type="eISSN">2468-7847</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Betacoronavirus (MeSH)</term><term>Chemotherapy, Adjuvant (MeSH)</term><term>Coronavirus Infections (complications)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (prevention & control)</term><term>Endometrial Neoplasms (pathology)</term><term>Endometrial Neoplasms (surgery)</term><term>Female (MeSH)</term><term>France (MeSH)</term><term>Genital Neoplasms, Female (complications)</term><term>Genital Neoplasms, Female (pathology)</term><term>Genital Neoplasms, Female (surgery)</term><term>Genital Neoplasms, Female (therapy)</term><term>Gynecology (MeSH)</term><term>Humans (MeSH)</term><term>Interdisciplinary Communication (MeSH)</term><term>Obstetrics (MeSH)</term><term>Ovarian Neoplasms (drug therapy)</term><term>Ovarian Neoplasms (pathology)</term><term>Pandemics (prevention & control)</term><term>Pneumonia, Viral (complications)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (prevention & control)</term><term>Receptors, Lymphocyte Homing (MeSH)</term><term>Risk (MeSH)</term><term>Societies, Medical (MeSH)</term><term>Trophoblastic Neoplasms (drug therapy)</term><term>Uterine Cervical Neoplasms (therapy)</term><term>Vaginal Neoplasms (therapy)</term><term>Vulvar Neoplasms (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Betacoronavirus (MeSH)</term><term>Communication interdisciplinaire (MeSH)</term><term>Femelle (MeSH)</term><term>France (MeSH)</term><term>Gynécologie (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (complications)</term><term>Infections à coronavirus (prévention et contrôle)</term><term>Infections à coronavirus (épidémiologie)</term><term>Obstétrique (MeSH)</term><term>Pandémies (prévention et contrôle)</term><term>Pneumopathie virale (complications)</term><term>Pneumopathie virale (prévention et contrôle)</term><term>Pneumopathie virale (épidémiologie)</term><term>Risque (MeSH)</term><term>Récepteurs d'écotaxie des lymphocytes (MeSH)</term><term>Sociétés médicales (MeSH)</term><term>Traitement médicamenteux adjuvant (MeSH)</term><term>Tumeurs de l'appareil génital féminin (anatomopathologie)</term><term>Tumeurs de l'appareil génital féminin (chirurgie)</term><term>Tumeurs de l'appareil génital féminin (complications)</term><term>Tumeurs de l'appareil génital féminin (thérapie)</term><term>Tumeurs de l'endomètre (anatomopathologie)</term><term>Tumeurs de l'endomètre (chirurgie)</term><term>Tumeurs de l'ovaire (anatomopathologie)</term><term>Tumeurs de l'ovaire (traitement médicamenteux)</term><term>Tumeurs de la vulve (chirurgie)</term><term>Tumeurs du col de l'utérus (thérapie)</term><term>Tumeurs du vagin (thérapie)</term><term>Tumeurs trophoblastiques (traitement médicamenteux)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Receptors, Lymphocyte Homing</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs de l'appareil génital féminin</term><term>Tumeurs de l'endomètre</term><term>Tumeurs de l'ovaire</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Tumeurs de l'appareil génital féminin</term><term>Tumeurs de l'endomètre</term><term>Tumeurs de la vulve</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="drug therapy" xml:lang="en"><term>Ovarian Neoplasms</term><term>Trophoblastic Neoplasms</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Endometrial Neoplasms</term><term>Genital Neoplasms, Female</term><term>Ovarian Neoplasms</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term><term>Pandemics</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Infections à coronavirus</term><term>Pandémies</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Endometrial Neoplasms</term><term>Genital Neoplasms, Female</term><term>Vulvar Neoplasms</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Genital Neoplasms, Female</term><term>Uterine Cervical Neoplasms</term><term>Vaginal Neoplasms</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Tumeurs de l'appareil génital féminin</term><term>Tumeurs du col de l'utérus</term><term>Tumeurs du vagin</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Tumeurs de l'ovaire</term><term>Tumeurs trophoblastiques</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Betacoronavirus</term><term>Chemotherapy, Adjuvant</term><term>Female</term><term>Gynecology</term><term>Humans</term><term>Interdisciplinary Communication</term><term>Obstetrics</term><term>Risk</term><term>Societies, Medical</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Betacoronavirus</term><term>Communication interdisciplinaire</term><term>Femelle</term><term>France</term><term>Gynécologie</term><term>Humains</term><term>Infections à coronavirus</term><term>Obstétrique</term><term>Pneumopathie virale</term><term>Risque</term><term>Récepteurs d'écotaxie des lymphocytes</term><term>Sociétés médicales</term><term>Traitement médicamenteux adjuvant</term><term>Tumeurs de l'appareil génital féminin</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>In the context of the COVID-19 pandemic, specific recommendations are required for the management of patients with gynecologic cancer.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHOD</b></p><p>The FRANCOGYN group of the National College of French Gynecologists and Obstetricians (CNGOF) convened to develop recommendations based on the consensus conference model.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>If a patient with a gynecologic cancer presents with COVID-19, surgical management should be postponed for at least 15 days. For cervical cancer, radiotherapy and concomitant radiochemotherapy could replace surgery as first-line treatment and the value of lymph node staging should be reviewed on a case-by-case basis. For advanced ovarian cancers, neoadjuvant chemotherapy should be preferred over primary cytoreduction surgery. It is legitimate not to perform hyperthermic intraperitoneal chemotherapy during the COVID-19 pandemic. For patients who are scheduled to undergo interval surgery, chemotherapy can be continued and surgery performed after 6 cycles. For patients with early stage endometrial cancer of low and intermediate preoperative ESMO risk, hysterectomy with bilateral adnexectomy combined with a sentinel lymph node procedure is recommended. Surgery can be postponed for 1-2 months in low-risk endometrial cancers (FIGO Ia stage on MRI and grade 1-2 endometrioid cancer on endometrial biopsy). For patients of high ESMO risk, the MSKCC algorithm (combining PET-CT and sentinel lymph node biopsy) should be applied to avoid pelvic and lumbar-aortic lymphadenectomy.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>During the COVID-19 pandemic, management of a patient with cancer should be adapted to limit the risks associated with the virus without incurring loss of chance.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32247066</PMID><DateCompleted><Year>2020</Year><Month>06</Month><Day>03</Day></DateCompleted><DateRevised><Year>2020</Year><Month>06</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2468-7847</ISSN><JournalIssue CitedMedium="Internet"><Volume>49</Volume><Issue>6</Issue><PubDate><Year>2020</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Journal of gynecology obstetrics and human reproduction</Title><ISOAbbreviation>J Gynecol Obstet Hum Reprod</ISOAbbreviation></Journal><ArticleTitle>Recommendations for the surgical management of gynecological cancers during the COVID-19 pandemic - FRANCOGYN group for the CNGOF.</ArticleTitle><Pagination><MedlinePgn>101729</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S2468-7847(20)30063-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jogoh.2020.101729</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">In the context of the COVID-19 pandemic, specific recommendations are required for the management of patients with gynecologic cancer.</AbstractText><AbstractText Label="MATERIALS AND METHOD" NlmCategory="METHODS">The FRANCOGYN group of the National College of French Gynecologists and Obstetricians (CNGOF) convened to develop recommendations based on the consensus conference model.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">If a patient with a gynecologic cancer presents with COVID-19, surgical management should be postponed for at least 15 days. For cervical cancer, radiotherapy and concomitant radiochemotherapy could replace surgery as first-line treatment and the value of lymph node staging should be reviewed on a case-by-case basis. For advanced ovarian cancers, neoadjuvant chemotherapy should be preferred over primary cytoreduction surgery. It is legitimate not to perform hyperthermic intraperitoneal chemotherapy during the COVID-19 pandemic. For patients who are scheduled to undergo interval surgery, chemotherapy can be continued and surgery performed after 6 cycles. For patients with early stage endometrial cancer of low and intermediate preoperative ESMO risk, hysterectomy with bilateral adnexectomy combined with a sentinel lymph node procedure is recommended. Surgery can be postponed for 1-2 months in low-risk endometrial cancers (FIGO Ia stage on MRI and grade 1-2 endometrioid cancer on endometrial biopsy). For patients of high ESMO risk, the MSKCC algorithm (combining PET-CT and sentinel lymph node biopsy) should be applied to avoid pelvic and lumbar-aortic lymphadenectomy.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">During the COVID-19 pandemic, management of a patient with cancer should be adapted to limit the risks associated with the virus without incurring loss of chance.</AbstractText><CopyrightInformation>Copyright © 2020 The Author(s). Published by Elsevier Masson SAS.. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Akladios</LastName><ForeName>Cherif</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>Henri</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Service de gynécologie, Hopital la Pitié Salpetriee, 75013 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ballester</LastName><ForeName>Marcos</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>Sofiane</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Service de gynécologie obstétrique, HôpitalTenon, 75020 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bolze</LastName><ForeName>Pierre-Adrien</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>Nicolas</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>Alexandre</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>Geoffroy</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Service de gynécologie, Hopital la Pitié Salpetriee, 75013 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carcopino</LastName><ForeName>Xavier</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Service de gyécologie, La Timone, 13000 Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chauvet</LastName><ForeName>Pauline</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>Pierre</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Service de gynécologie, Hôpital Jeanne de Flandres, 59 000 Lille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Coutant</LastName><ForeName>Charles</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Centre de Lutte Contre le Cancer, 21 000 Dijon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dabi</LastName><ForeName>Yohann</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Service de gynécologie obstétrique, HôpitalTenon, 75020 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dion</LastName><ForeName>Ludivine</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Service de gynécologie, CHU Hôpital Sud, 35000 Rennes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gauthier</LastName><ForeName>Tristan</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Service de gynécologie obstétrique, CHU, 87000 Limoges, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Graesslin</LastName><ForeName>Olivier</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Service de gynécologie obstétrique, CHU 51000 Reims, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huchon</LastName><ForeName>Cyrille</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>Martin</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Service de gynécologie obstétrique, Hopital Bichat, 75018 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kridelka</LastName><ForeName>Frederic</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Service de chirurgie oncologique, CHU, Liege, Belgique, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lavoue</LastName><ForeName>Vincent</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Service de gynécologie, CHU Hôpital Sud, 35000 Rennes, France. Electronic address: Vincent.lavoue@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lecointre</LastName><ForeName>Lise</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Service de gynécologie, CHU de Hautepierre, 67000 Strasbourg, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mezzadri</LastName><ForeName>Matthieu</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Service de gynécologie, Hôpital Lariboisière, 75010 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mimoun</LastName><ForeName>Camille</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Service de gynécologie, Hôpital Lariboisière, 75010 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ouldamer</LastName><ForeName>Lobna</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Service de gynécologie, CHU Tours, 37000 Tours, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Raimond</LastName><ForeName>Emilie</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Service de gynécologie obstétrique, CHU 51000 Reims, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Touboul</LastName><ForeName>Cyril</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Service de gynécologie obstétrique, HôpitalTenon, 75020 Paris, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D017065">Practice Guideline</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>04</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>J Gynecol Obstet Hum Reprod</MedlineTA><NlmUniqueID>101701588</NlmUniqueID><ISSNLinking>2468-7847</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D016201">Receptors, Lymphocyte Homing</NameOfSubstance></Chemical></ChemicalList><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="D017024" MajorTopicYN="N">Chemotherapy, Adjuvant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016889" MajorTopicYN="N">Endometrial Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></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="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006176" MajorTopicYN="N">Gynecology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D033183" MajorTopicYN="N">Interdisciplinary Communication</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009774" MajorTopicYN="N">Obstetrics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010051" MajorTopicYN="N">Ovarian Neoplasms</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, 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last="Dabi">Yohann Dabi</name><name sortKey="Dion, Ludivine" sort="Dion, Ludivine" uniqKey="Dion L" first="Ludivine" last="Dion">Ludivine Dion</name><name sortKey="Gauthier, Tristan" sort="Gauthier, Tristan" uniqKey="Gauthier T" first="Tristan" last="Gauthier">Tristan Gauthier</name><name sortKey="Graesslin, Olivier" sort="Graesslin, Olivier" uniqKey="Graesslin O" first="Olivier" last="Graesslin">Olivier Graesslin</name><name sortKey="Huchon, Cyrille" sort="Huchon, Cyrille" uniqKey="Huchon C" first="Cyrille" last="Huchon">Cyrille Huchon</name><name sortKey="Koskas, Martin" sort="Koskas, Martin" uniqKey="Koskas M" first="Martin" last="Koskas">Martin Koskas</name><name sortKey="Kridelka, Frederic" sort="Kridelka, Frederic" uniqKey="Kridelka F" first="Frederic" last="Kridelka">Frederic Kridelka</name><name sortKey="Lavoue, Vincent" sort="Lavoue, Vincent" uniqKey="Lavoue V" first="Vincent" last="Lavoue">Vincent Lavoue</name><name sortKey="Lecointre, Lise" sort="Lecointre, Lise" uniqKey="Lecointre L" first="Lise" last="Lecointre">Lise Lecointre</name><name sortKey="Mezzadri, Matthieu" sort="Mezzadri, Matthieu" uniqKey="Mezzadri M" first="Matthieu" last="Mezzadri">Matthieu Mezzadri</name><name sortKey="Mimoun, Camille" sort="Mimoun, Camille" uniqKey="Mimoun C" first="Camille" last="Mimoun">Camille Mimoun</name><name sortKey="Ouldamer, Lobna" sort="Ouldamer, Lobna" uniqKey="Ouldamer L" first="Lobna" last="Ouldamer">Lobna Ouldamer</name><name sortKey="Raimond, Emilie" sort="Raimond, Emilie" uniqKey="Raimond E" first="Emilie" last="Raimond">Emilie Raimond</name><name sortKey="Touboul, Cyril" sort="Touboul, Cyril" uniqKey="Touboul C" first="Cyril" last="Touboul">Cyril Touboul</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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