ESGO-ESTRO-ESP guidelines for the management of patients with endometrial carcinoma: update 2025

Publikation: Beitrag in FachzeitschriftÜbersichtsartikel (Review)BeigetragenBegutachtung

Beitragende

  • Nicole Concin - , Medizinische Universität Wien (Autor:in)
  • Xavier Matias-Guiu - , Hospital Universitario Arnau de Vilanova (Autor:in)
  • David Cibula - , Universitätsklinikum Prag (Autor:in)
  • Nicoletta Colombo - , IRCCS Istituto Europeo di Oncologia - Milano, Università degli Studi di Milano Bicocca (Autor:in)
  • Carien L Creutzberg - , Leiden University Medical Centre (LUMC) (Autor:in)
  • Jonathan Ledermann - , University College London (Autor:in)
  • Mansoor Raza Mirza - , Righospitalet (Autor:in)
  • Ignace Vergote - , Universitair Ziekenhuis (UZ) Leuven (Autor:in)
  • Nadeem R Abu-Rustum - , Memorial Sloan-Kettering Cancer Center (Autor:in)
  • Tjalling Bosse - , Leiden University Medical Centre (LUMC) (Autor:in)
  • Cyrus Chargari - , Hôpital de la Salpêtrière (Autor:in)
  • Sophie Espenel - , Institut Gustave Roussy (Autor:in)
  • Anna Fagotti - , Fondazione Policlinico Universitario Agostino Gemelli IRCCS (Autor:in)
  • Christina Fotopoulou - , Imperial College London (Autor:in)
  • Sonia Gatius - , Hospital Universitario Arnau de Vilanova (Autor:in)
  • Antonio González-Martin - , Clinica Universidad de Navarra (CUN) (Autor:in)
  • Sigurd Lax - , LKH Graz II, Medizinische Universität Graz, Johannes Kepler Universität Linz (Autor:in)
  • Bar Levy - , HaBait Shel Bar - Israel Women's Cancer Association, Tel Aviv University (Autor:in)
  • Domenica Lorusso - , Humanitas University , Humanitas San Pio X Hospital (Autor:in)
  • Gabriella Macchia - , Responsible Research Hospital, Università Cattolica del Sacro Cuore (Autor:in)
  • Christian Marth - , Medizinische Universität Innsbruck, KEM | Evang. Kliniken Essen-Mitte gGmbH (Autor:in)
  • Philippe Morice - , Institut Gustave Roussy, Université Paris-Saclay (Autor:in)
  • Ana Oaknin - , Vall d'Hebron Institute of Oncology (VHIO), Hospital Universitari Vall d'Hebron (Autor:in)
  • Maria Rosaria Raspollini - , Azienda Ospedaliera Universitaria (AOU) Careggi (Autor:in)
  • Richard Schwameis - , Medizinische Universität Wien (Autor:in)
  • Jalid Sehouli - , Charité – Universitätsmedizin Berlin (Autor:in)
  • Alina Sturdza - , Medizinische Universität Wien (Autor:in)
  • Alexandra Taylor - , Royal Marsden NHS Foundation Trust (Autor:in)
  • Anneke Westermann - , Amsterdam University Medical Centers (UMC) (Autor:in)
  • Pauline Wimberger - , Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe (Autor:in)
  • François Planchamp - , Centre Georges-François Leclerc (Autor:in)
  • Remi A Nout - , Erasmus University Medical Center (Autor:in)

Abstract

In 2023, based on advances in the understanding of the pathological and molecular features of endometrial carcinoma, an updated International Federation of Gynaecology and Obstetrics (FIGO) staging system was published, aiming to better define prognostic groups and identify relevant treatment subgroups by including factors reflecting tumour biology (histological subtypes, lymphovascular space invasion, and molecular classification) alongside refinements of anatomical factors (peritoneal carcinomatosis and lymph node metastasis). As part of its mission to improve the quality of care for people with gynaecological cancers, the European Society of Gynaecological Oncology (ESGO), European Society for Radiotherapy and Oncology (ESTRO), and the European Society of Pathology (ESP) updated the ESGO-ESTRO-ESP evidence-based guidelines published in 2021 by incorporating this revised FIGO staging and the large body of new evidence addressing the management of endometrial carcinoma. The development process of these guidelines was based on a systematic literature review and critical appraisal process involving an international multidisciplinary development group consisting of 30 experts from relevant disciplines (gynaecological oncology, radiation oncology, medical oncology, and pathology). A patient representative was also included. Before publication, the guidelines were reviewed by 225 independent international practitioners in cancer care delivery and three patient representatives from Asia, Europe, North Africa, North America, the Middle East, and South America to ensure a global perspective. These guidelines comprehensively cover diagnosis, management, follow-up, and patient education. Management includes surgical and adjuvant therapy according to the stage of the disease, and metastatic and recurrent disease. The management algorithms and the principles of radiotherapy and pathological evaluation are also defined.

Details

OriginalspracheEnglisch
Seiten (von - bis)e423-e435
FachzeitschriftThe Lancet Oncology
Jahrgang26
Ausgabenummer8
PublikationsstatusVeröffentlicht - Aug. 2025
Peer-Review-StatusJa

Externe IDs

Scopus 105011584673

Schlagworte

Ziele für nachhaltige Entwicklung

Schlagwörter

  • Female, Humans, Endometrial Neoplasms/therapy, Medical Oncology/standards, Neoplasm Staging, Systematic Reviews as Topic