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

Research output: Contribution to journal › Review article › Contributed › peer-review

Contributors

  • Nicole Concin - , Medical University of Vienna (Author)
  • Xavier Matias-Guiu - , University Hospital Arnau de Vilanova (Author)
  • David Cibula - , General University Hospital in Prague (Author)
  • Nicoletta Colombo - , IRCCS Istituto Europeo di Oncologia - Milano, University of Milan - Bicocca (Author)
  • Carien L Creutzberg - , Leiden University Medical Centre (LUMC) (Author)
  • Jonathan Ledermann - , University College London (Author)
  • Mansoor Raza Mirza - , Righospitalet (Author)
  • Ignace Vergote - , University Hospitals Leuven (Author)
  • Nadeem R Abu-Rustum - , Memorial Sloan-Kettering Cancer Center (Author)
  • Tjalling Bosse - , Leiden University Medical Centre (LUMC) (Author)
  • Cyrus Chargari - , Pitié-Salpêtrière Hospital (Author)
  • Sophie Espenel - , Institut Gustave Roussy (Author)
  • Anna Fagotti - , A. Gemelli University Hospital Foundation IRCCS (Author)
  • Christina Fotopoulou - , Imperial College London (Author)
  • Sonia Gatius - , University Hospital Arnau de Vilanova (Author)
  • Antonio González-Martin - , University Hospital Navarra (CUN) (Author)
  • Sigurd Lax - , Hospital Graz II, Medical University of Graz, Johannes Kepler University Linz (Author)
  • Bar Levy - , HaBait Shel Bar - Israel Women's Cancer Association, Tel Aviv University (Author)
  • Domenica Lorusso - , Humanitas University , Humanitas San Pio X Hospital (Author)
  • Gabriella Macchia - , Responsible Research Hospital, Catholic University of the Sacred Heart (Author)
  • Christian Marth - , Innsbruck Medical University, KEM | Evang. Kliniken Essen-Mitte (Author)
  • Philippe Morice - , Institut Gustave Roussy, Université Paris-Saclay (Author)
  • Ana Oaknin - , Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron University Hospital (Author)
  • Maria Rosaria Raspollini - , Careggi University Hospital (Author)
  • Richard Schwameis - , Medical University of Vienna (Author)
  • Jalid Sehouli - , Charité – Universitätsmedizin Berlin (Author)
  • Alina Sturdza - , Medical University of Vienna (Author)
  • Alexandra Taylor - , Royal Marsden NHS Foundation Trust (Author)
  • Anneke Westermann - , Amsterdam University Medical Centers (UMC) (Author)
  • Pauline Wimberger - , Department of Gynecology and Obstetrics (Author)
  • François Planchamp - , Centre Georges-François Leclerc (Author)
  • Remi A Nout - , Erasmus University Medical Center (Author)

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

Original languageEnglish
Pages (from-to)e423-e435
JournalThe Lancet Oncology
Volume26
Issue number8
Publication statusPublished - Aug 2025
Peer-reviewedYes

External IDs

Scopus 105011584673

Keywords

Sustainable Development Goals

Keywords

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