Diagnosis, Therapy and Follow-up of Cervical Cancer. Guideline of the DGGG, DKG and DKH (S3-Level, AWMF Registry No. 032/033OL, May 2021) – Part 2 with Recommendations on Psycho-oncology, Rehabilitation, Follow-up, Recurrence, Palliative Therapy and Healthcare Facilities
Abstract Aim This is an update of the interdisciplinary S3-guideline on the Diagnosis, Therapy and Follow-up of Cervical Cancer (AWMF Registry No. 032/033OL), published in March 2021. The work on the updated guideline was funded by German Cancer Aid (Deutsche Krebshilfe) as part of the German Guidel...
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| Published in: | Geburtshilfe und Frauenheilkunde Vol. 82; no. 2; pp. 181 - 205 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Rüdigerstraße 14, 70469 Stuttgart, Germany
Georg Thieme Verlag KG
01-02-2022
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| Abstract | Abstract
Aim
This is an update of the interdisciplinary S3-guideline on the Diagnosis, Therapy and Follow-up of Cervical Cancer (AWMF Registry No. 032/033OL), published in March 2021. The
work on the updated guideline was funded by German Cancer Aid
(Deutsche Krebshilfe)
as part of the German Guideline Program in Oncology. The guideline was coordinated by the German
Society of Gynecology and Obstetrics (
Deutsche Gesellschaft für Gynäkologie und Geburtshilfe
, DGGG) and the Working Group on Gynecological Oncology (
Arbeitsgemeinschaft
Gynäkologische Onkologie
, AGO) of the German Cancer Society (
Deutsche Krebsgesellschaft
, DKG).
Method
The process used to update the 2014 S3-guideline was based on an appraisal of the available evidence using the criteria of evidence-based medicine, adaptations of existing
evidence-based national and international guidelines or – if evidence was lacking – on the consensus of the specialists involved in compiling the update. After an initial review of the
current literature was carried out according to a prescribed algorithm, several areas were identified which, in contrast to the predecessor version from September 2014, required new
recommendations or statements which would take account of more recently published literature and the recent appraisal of new evidence.
Recommendations
The short version of this guideline consists of recommendations and statements on palliative therapy and follow-up of patients with cervical cancer. The most
important aspects included in this updated guideline are the new FIGO classification published in 2018, the radical open surgery approach used to treat cervical cancer up to FIGO stage IB1,
and the use of the sentinel lymph node technique for tumors ≤ 2 cm. Other changes include the use of PET-CT, new options in radiotherapy (e.g., intensity-modulated radiotherapy, image-guided
adaptive brachytherapy), and drug therapies to treat recurrence or metastasis.
Zusammenfassung
Ziel
Im März 2021 erschien das Update der interdisziplinären S3-Leitlinie für die Diagnostik, Therapie und Nachsorge der Patientinnen mit Zervixkarzinom (AWMF-Registernummer:
032/033OL). Die Leitlinienarbeit ist von der Deutschen Krebshilfe im Rahmen des Leitlinienprogramms Onkologie gefördert. Die Koordination erfolgte durch die Deutsche Gesellschaft für
Gynäkologie und Geburtshilfe (DGGG) und der Arbeitsgemeinschaft Onkologische Gynäkologie (AGO) der Deutschen Krebsgesellschaft (DKG).
Methoden
Der Aktualisierungsprozess der S3-Leitlinie aus dem Jahre 2014 basierte entweder auf der Aufarbeitung der verfügbaren Evidenz nach den Kriterien der evidenzbasierten
Medizin, einer Adaptierung von vorhandenen evidenzbasierten nationalen und internationalen Leitlinien oder – bei Fehlen einer Evidenzgrundlage – auf dem Konsens der beteiligten Fachexperten.
Nach anfänglicher Sichtung der aktuellen Literatur nach vorgegebenem Algorithmus wurden mehrere Felder identifiziert, die im Gegensatz zur Vorläuferversion aus dem September 2014, neue
Empfehlungen oder Statements benötigten, um der aktuell publizierten Literatur und der Evidenzaufarbeitung Genüge zu tun.
Empfehlungen
Die Kurzversion dieser Leitlinie beinhaltet Empfehlungen und Statements zur palliativen Therapie und Nachsorge von Patientinnen mit Zervixkarzinom. Zu den wesentlichen
Neuerungen durch die Aktualisierung der Leitlinie gehören die 2018 neu publizierte FIGO-Klassifikation, das offene radikale Vorgehen bei Zervixkarzinom bis Stadium FIGO IB1 sowie der Einsatz
der Sentinel-Lymphknoten-Technik bis Tumoren ≤ 2 cm. Weitere Änderungen betreffen den Einsatz des PET-CTs, neue Optionen in der Strahlentherapie (z. B. intensitätsmodulierte
Strahlentherapie, Image-guided adaptive Brachytherapie) und medikamentöse Therapien in der Rezidiv- bzw. metastasierten Situation. |
|---|---|
| AbstractList | Aim This is an update of the interdisciplinary S3-guideline on the Diagnosis, Therapy and Follow-up of Cervical Cancer (AWMF Registry No. 032/033OL), published in March 2021. The work on the updated guideline was funded by German Cancer Aid (Deutsche Krebshilfe) as part of the German Guideline Program in Oncology. The guideline was coordinated by the German Society of Gynecology and Obstetrics ( Deutsche Gesellschaft für Gynäkologie und Geburtshilfe , DGGG) and the Working Group on Gynecological Oncology ( Arbeitsgemeinschaft Gynäkologische Onkologie , AGO) of the German Cancer Society ( Deutsche Krebsgesellschaft , DKG). Method The process used to update the 2014 S3-guideline was based on an appraisal of the available evidence using the criteria of evidence-based medicine, adaptations of existing evidence-based national and international guidelines or - if evidence was lacking - on the consensus of the specialists involved in compiling the update. After an initial review of the current literature was carried out according to a prescribed algorithm, several areas were identified which, in contrast to the predecessor version from September 2014, required new recommendations or statements which would take account of more recently published literature and the recent appraisal of new evidence. Recommendations The short version of this guideline consists of recommendations and statements on palliative therapy and follow-up of patients with cervical cancer. The most important aspects included in this updated guideline are the new FIGO classification published in 2018, the radical open surgery approach used to treat cervical cancer up to FIGO stage IB1, and the use of the sentinel lymph node technique for tumors ≤ 2 cm. Other changes include the use of PET-CT, new options in radiotherapy (e.g., intensity-modulated radiotherapy, image-guided adaptive brachytherapy), and drug therapies to treat recurrence or metastasis.Aim This is an update of the interdisciplinary S3-guideline on the Diagnosis, Therapy and Follow-up of Cervical Cancer (AWMF Registry No. 032/033OL), published in March 2021. The work on the updated guideline was funded by German Cancer Aid (Deutsche Krebshilfe) as part of the German Guideline Program in Oncology. The guideline was coordinated by the German Society of Gynecology and Obstetrics ( Deutsche Gesellschaft für Gynäkologie und Geburtshilfe , DGGG) and the Working Group on Gynecological Oncology ( Arbeitsgemeinschaft Gynäkologische Onkologie , AGO) of the German Cancer Society ( Deutsche Krebsgesellschaft , DKG). Method The process used to update the 2014 S3-guideline was based on an appraisal of the available evidence using the criteria of evidence-based medicine, adaptations of existing evidence-based national and international guidelines or - if evidence was lacking - on the consensus of the specialists involved in compiling the update. After an initial review of the current literature was carried out according to a prescribed algorithm, several areas were identified which, in contrast to the predecessor version from September 2014, required new recommendations or statements which would take account of more recently published literature and the recent appraisal of new evidence. Recommendations The short version of this guideline consists of recommendations and statements on palliative therapy and follow-up of patients with cervical cancer. The most important aspects included in this updated guideline are the new FIGO classification published in 2018, the radical open surgery approach used to treat cervical cancer up to FIGO stage IB1, and the use of the sentinel lymph node technique for tumors ≤ 2 cm. Other changes include the use of PET-CT, new options in radiotherapy (e.g., intensity-modulated radiotherapy, image-guided adaptive brachytherapy), and drug therapies to treat recurrence or metastasis. Abstract Aim This is an update of the interdisciplinary S3-guideline on the Diagnosis, Therapy and Follow-up of Cervical Cancer (AWMF Registry No. 032/033OL), published in March 2021. The work on the updated guideline was funded by German Cancer Aid (Deutsche Krebshilfe) as part of the German Guideline Program in Oncology. The guideline was coordinated by the German Society of Gynecology and Obstetrics ( Deutsche Gesellschaft für Gynäkologie und Geburtshilfe , DGGG) and the Working Group on Gynecological Oncology ( Arbeitsgemeinschaft Gynäkologische Onkologie , AGO) of the German Cancer Society ( Deutsche Krebsgesellschaft , DKG). Method The process used to update the 2014 S3-guideline was based on an appraisal of the available evidence using the criteria of evidence-based medicine, adaptations of existing evidence-based national and international guidelines or – if evidence was lacking – on the consensus of the specialists involved in compiling the update. After an initial review of the current literature was carried out according to a prescribed algorithm, several areas were identified which, in contrast to the predecessor version from September 2014, required new recommendations or statements which would take account of more recently published literature and the recent appraisal of new evidence. Recommendations The short version of this guideline consists of recommendations and statements on palliative therapy and follow-up of patients with cervical cancer. The most important aspects included in this updated guideline are the new FIGO classification published in 2018, the radical open surgery approach used to treat cervical cancer up to FIGO stage IB1, and the use of the sentinel lymph node technique for tumors ≤ 2 cm. Other changes include the use of PET-CT, new options in radiotherapy (e.g., intensity-modulated radiotherapy, image-guided adaptive brachytherapy), and drug therapies to treat recurrence or metastasis. Zusammenfassung Ziel Im März 2021 erschien das Update der interdisziplinären S3-Leitlinie für die Diagnostik, Therapie und Nachsorge der Patientinnen mit Zervixkarzinom (AWMF-Registernummer: 032/033OL). Die Leitlinienarbeit ist von der Deutschen Krebshilfe im Rahmen des Leitlinienprogramms Onkologie gefördert. Die Koordination erfolgte durch die Deutsche Gesellschaft für Gynäkologie und Geburtshilfe (DGGG) und der Arbeitsgemeinschaft Onkologische Gynäkologie (AGO) der Deutschen Krebsgesellschaft (DKG). Methoden Der Aktualisierungsprozess der S3-Leitlinie aus dem Jahre 2014 basierte entweder auf der Aufarbeitung der verfügbaren Evidenz nach den Kriterien der evidenzbasierten Medizin, einer Adaptierung von vorhandenen evidenzbasierten nationalen und internationalen Leitlinien oder – bei Fehlen einer Evidenzgrundlage – auf dem Konsens der beteiligten Fachexperten. Nach anfänglicher Sichtung der aktuellen Literatur nach vorgegebenem Algorithmus wurden mehrere Felder identifiziert, die im Gegensatz zur Vorläuferversion aus dem September 2014, neue Empfehlungen oder Statements benötigten, um der aktuell publizierten Literatur und der Evidenzaufarbeitung Genüge zu tun. Empfehlungen Die Kurzversion dieser Leitlinie beinhaltet Empfehlungen und Statements zur palliativen Therapie und Nachsorge von Patientinnen mit Zervixkarzinom. Zu den wesentlichen Neuerungen durch die Aktualisierung der Leitlinie gehören die 2018 neu publizierte FIGO-Klassifikation, das offene radikale Vorgehen bei Zervixkarzinom bis Stadium FIGO IB1 sowie der Einsatz der Sentinel-Lymphknoten-Technik bis Tumoren ≤ 2 cm. Weitere Änderungen betreffen den Einsatz des PET-CTs, neue Optionen in der Strahlentherapie (z. B. intensitätsmodulierte Strahlentherapie, Image-guided adaptive Brachytherapie) und medikamentöse Therapien in der Rezidiv- bzw. metastasierten Situation. This is an update of the interdisciplinary S3-guideline on the Diagnosis, Therapy and Follow-up of Cervical Cancer (AWMF Registry No. 032/033OL), published in March 2021. The work on the updated guideline was funded by German Cancer Aid as part of the German Guideline Program in Oncology. The guideline was coordinated by the German Society of Gynecology and Obstetrics ( , DGGG) and the Working Group on Gynecological Oncology ( , AGO) of the German Cancer Society ( , DKG). The process used to update the 2014 S3-guideline was based on an appraisal of the available evidence using the criteria of evidence-based medicine, adaptations of existing evidence-based national and international guidelines or - if evidence was lacking - on the consensus of the specialists involved in compiling the update. After an initial review of the current literature was carried out according to a prescribed algorithm, several areas were identified which, in contrast to the predecessor version from September 2014, required new recommendations or statements which would take account of more recently published literature and the recent appraisal of new evidence. The short version of this guideline consists of recommendations and statements on palliative therapy and follow-up of patients with cervical cancer. The most important aspects included in this updated guideline are the new FIGO classification published in 2018, the radical open surgery approach used to treat cervical cancer up to FIGO stage IB1, and the use of the sentinel lymph node technique for tumors ≤ 2 cm. Other changes include the use of PET-CT, new options in radiotherapy (e.g., intensity-modulated radiotherapy, image-guided adaptive brachytherapy), and drug therapies to treat recurrence or metastasis. Aim This is an update of the interdisciplinary S3-guideline on the Diagnosis, Therapy and Follow-up of Cervical Cancer (AWMF Registry No. 032/033OL), published in March 2021. The work on the updated guideline was funded by German Cancer Aid (Deutsche Krebshilfe) as part of the German Guideline Program in Oncology. The guideline was coordinated by the German Society of Gynecology and Obstetrics ( Deutsche Gesellschaft für Gynäkologie und Geburtshilfe , DGGG) and the Working Group on Gynecological Oncology ( Arbeitsgemeinschaft Gynäkologische Onkologie , AGO) of the German Cancer Society ( Deutsche Krebsgesellschaft , DKG). Method The process used to update the 2014 S3-guideline was based on an appraisal of the available evidence using the criteria of evidence-based medicine, adaptations of existing evidence-based national and international guidelines or – if evidence was lacking – on the consensus of the specialists involved in compiling the update. After an initial review of the current literature was carried out according to a prescribed algorithm, several areas were identified which, in contrast to the predecessor version from September 2014, required new recommendations or statements which would take account of more recently published literature and the recent appraisal of new evidence. Recommendations The short version of this guideline consists of recommendations and statements on palliative therapy and follow-up of patients with cervical cancer. The most important aspects included in this updated guideline are the new FIGO classification published in 2018, the radical open surgery approach used to treat cervical cancer up to FIGO stage IB1, and the use of the sentinel lymph node technique for tumors ≤ 2 cm. Other changes include the use of PET-CT, new options in radiotherapy (e.g., intensity-modulated radiotherapy, image-guided adaptive brachytherapy), and drug therapies to treat recurrence or metastasis. |
| Author | Griesser, Henrik Wight, Edward Marnitz, Simone Wimberger, Pauline Hillemanns, Peter Zraik, Isabella Stübs, Frederik A. Hornemann, Beate Loessl, Kristina Mumm, Friederike Mallmann, Peter Alt, Céline Münstedt, Karsten Mangold, Bernhard Menke, Jan Ehret, Anne Letsch, Anne Neis, Klaus Beckmann, Matthias W. Lotz, Laura Gebhardt, Marion Kloke, Marianne Ortmann, Olaf Oechsle, Karin Küppers, Volkmar Lellé, Ralph Möckel, Jochen Martignoni, Franca Mergel, Franziska Grimm, Christoph Sevnina, Anna Denschlag, Dominik Kreißl, Michael Wittekind, Christian Haase, Heidemarie Hagen, Volker Reinhardt, Michael Fehm, Tanja Cieslik, Jan-Philipp Pöschel, Birgit Horn, Lars-Christian Kiesel, Ludwig Sturdza, Alina Koch, Martin C. Gilster, Tobias Merz, Eberhard Stromberger, Carmen Wesselmann, Simone Friedrich, Michael Schmittel, Alexander Henscher, Ulla Vordermark, Dirk Diel, Ingo Freitag, Ulrich Dietl, Anna Golatta, Michael Tholen, Reina Dannecker, Christian Gantert, Daniel Lindel, Katja Dauelsberg, Timm Wiedemann, Regina Paradies, Kerstin Mustea, Alexander Steiner, Manfred |
| AuthorAffiliation | 42 ZytoLabor Ludwigsburg, Ludwigsburg, Germany 13 Universitätsspital Basel, Frauenklinik, Basel, Switzerland 15 Universitätsklinikum Heidelberg, Frauenklinik, Heidelberg, Germany 49 Hochtaunus Kliniken, Frauenklinik, Bad Homburg, Germany 36 Universitätsklinikum Magdeburg, Klinik für Radiologie und Nuklearmedizin, Magdeburg, Germany 18 Praxisklinik am Rosengarten, Mannheim, Germany 24 Frauenarztpraxis, Zytologisches Labor, Düsseldorf, Germany 19 Klinikum Ortenau, Frauenklinik, Ortenau, Germany 48 Universitätsklinikum Bonn, Frauenklinik, Bonn, Germany 14 Universitätsklinik Bern, Klinik für Radio-Onkologie, Bern, Switzerland 17 Universitätsklinikum Freiburg, Klinik für Onkologische Rehabilitation, Freiburg, Germany 3 Universitätsklinikum Köln, Frauenklinik, Köln, Germany 43 Labor Schneider, Freiburg im Breisgau, Germany 37 Kliniken Essen-Mitte, Klinik für Palliativmedizin, Essen, Germany 4 Universitätsklinikum Augsburg, Frauenklinik, Augsburg, Germany 21 Universitätsklinikum Halle (Saale), Klinik für St |
| AuthorAffiliation_xml | – name: 41 Kliniken Essen-Mitte, Klinik für Urologie, Essen, Germany – name: 29 Frauenarztpraxis, Ihringen, Germany – name: 20 Zentrum für Ultraschalldiagnostik und Pränatalmedizin Frankfurt, Frankfurt am Main, Germany – name: 14 Universitätsklinik Bern, Klinik für Radio-Onkologie, Bern, Switzerland – name: 18 Praxisklinik am Rosengarten, Mannheim, Germany – name: 15 Universitätsklinikum Heidelberg, Frauenklinik, Heidelberg, Germany – name: 51 Deutsche Krebsgesellschaft e. V., Berlin, Germany – name: 23 Universitätsklinikum Leipzig, Institut für Pathologie, Leipzig, Germany – name: 19 Klinikum Ortenau, Frauenklinik, Ortenau, Germany – name: 33 Helios Klinikum Krefeld, Frauenklinik, Krefeld, Germany – name: 11 Abteilung für allgemeine Gynäkologie und gynäkologische Onkologie, Gynecologic Cancer Unit, Comprehensive Cancer Center, Medizinische Universität Wien, Wien, Austria – name: 25 Universitätsklinikum Münster, Frauenklinik, Münster, Germany – name: 37 Kliniken Essen-Mitte, Klinik für Palliativmedizin, Essen, Germany – name: 13 Universitätsspital Basel, Frauenklinik, Basel, Switzerland – name: 21 Universitätsklinikum Halle (Saale), Klinik für Strahlentherapie, Halle (Saale), Germany – name: 2 Universitätsklinikum Erlangen, Frauenklinik, Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany – name: 47 Konferenz onkologischer Kranken- und Kinderkrankenpflege (KOK), Germany – name: 1 Universitätsklinikum Düsseldorf, Düsseldorf, Germany – name: 17 Universitätsklinikum Freiburg, Klinik für Onkologische Rehabilitation, Freiburg, Germany – name: 28 Praxis für Zytodiagnostik, Cölpin, Germany – name: 12 Universitätsklinikum AKH-Wien, Klinik für Radioonkologie, Wien, Austria – name: 39 Universitätsklinikum Köln, Klinik für Radioonkologie, Cyberknife- und Strahlentherapie, Köln, Germany – name: 7 Charité – Universitätsmedizin Berlin, Klinik für Radioonkologie und Strahlentherapie, Berlin, Germany – name: 5 SHG-Kliniken Völklingen, Klinik für Radiologie, Völklingen, Germany – name: 46 Medizinische Hochschule Hannover, Frauenklinik, Hannover, Germany – name: 43 Labor Schneider, Freiburg im Breisgau, Germany – name: 8 Universitätsklinikum Hamburg-Eppendorf, II. Medizinische Klinik und Poliklinik, Hamburg, Germany – name: 22 Städtisches Klinikum Karlsruhe, Klinik für Radioonkologie und Strahlentherapie, Karlsruhe, Germany – name: 3 Universitätsklinikum Köln, Frauenklinik, Köln, Germany – name: 42 ZytoLabor Ludwigsburg, Ludwigsburg, Germany – name: 30 Frauenarztpraxis, Wismar, Germany – name: 34 Bundesverband Frauenselbsthilfe nach Krebs, Germany – name: 32 Onkologie Seestrasse, Praxis für Onkologie, Berlin, Germany – name: 48 Universitätsklinikum Bonn, Frauenklinik, Bonn, Germany – name: 24 Frauenarztpraxis, Zytologisches Labor, Düsseldorf, Germany – name: 26 Frauenärzte am Staden, Saarbrücken, Germany – name: 50 Deutscher Verband für Physiotherapie (ZVK) e. V., Germany – name: 36 Universitätsklinikum Magdeburg, Klinik für Radiologie und Nuklearmedizin, Magdeburg, Germany – name: 16 St. Johannes Hospital Dortmund, Klinik für Innere Medizin II, Dortmund, Germany – name: 27 Labor Dr. Wisplinghoff, Köln, Germany – name: 49 Hochtaunus Kliniken, Frauenklinik, Bad Homburg, Germany – name: 44 Wolfgarten Radiologie Bonn, Bonn, Germany – name: 31 Frauenärzte am Stadtpark, Nürnberg, Germany – name: 35 Pius Hospital Oldenburg, Klinik für Nuklearmedizin, Oldenburg, Germany – name: 9 Universitätsklinikum Dresden, Psychoonkologischer Dienst, Dresden, Germany – name: 40 Universitätsklinikum Schleswig-Holstein, Klinik für Innere Medizin II, Kiel, Germany – name: 45 Department of Gynecology and Obstetrics, Technische Universität Dresden and National Center for Tumor Diseases (NCT/UCC), Dresden, Germany – name: 10 Medizinische Klinik und Poliklinik III und Comprehensive Cancer Center (CCC München LMU), Klinikum der Universität München, LMU München, München, Germany – name: 6 Arbeitsgemeinschaft Deutscher Tumorzentren, Germany – name: 38 Fliedner Fachhochschule Düsseldorf, Pflegewissenschaft, Düsseldorf, Germany – name: 4 Universitätsklinikum Augsburg, Frauenklinik, Augsburg, Germany |
| Author_xml | – sequence: 1 givenname: Tanja surname: Fehm fullname: Fehm, Tanja organization: Universitätsklinikum Düsseldorf, Düsseldorf, Germany – sequence: 2 givenname: Frederik A. surname: Stübs fullname: Stübs, Frederik A. organization: Universitätsklinikum Erlangen, Frauenklinik, Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany – sequence: 3 givenname: Martin C. surname: Koch fullname: Koch, Martin C. organization: Universitätsklinikum Erlangen, Frauenklinik, Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany – sequence: 4 givenname: Peter surname: Mallmann fullname: Mallmann, Peter organization: Universitätsklinikum Köln, Frauenklinik, Köln, Germany – sequence: 5 givenname: Christian surname: Dannecker fullname: Dannecker, Christian organization: Universitätsklinikum Augsburg, Frauenklinik, Augsburg, Germany – sequence: 6 givenname: Anna surname: Dietl fullname: Dietl, Anna organization: Universitätsklinikum Erlangen, Frauenklinik, Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany – sequence: 7 givenname: Anna surname: Sevnina fullname: Sevnina, Anna organization: Universitätsklinikum Erlangen, Frauenklinik, Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany – sequence: 8 givenname: Franziska surname: Mergel fullname: Mergel, Franziska organization: Universitätsklinikum Erlangen, Frauenklinik, Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany – sequence: 9 givenname: Laura surname: Lotz fullname: Lotz, Laura organization: Universitätsklinikum Erlangen, Frauenklinik, Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, Germany – sequence: 10 givenname: Anne surname: Ehret fullname: Ehret, Anne organization: Universitätsklinikum Düsseldorf, Düsseldorf, Germany – sequence: 11 givenname: Daniel surname: Gantert fullname: Gantert, Daniel organization: Universitätsklinikum Düsseldorf, Düsseldorf, Germany – sequence: 12 givenname: Franca surname: Martignoni fullname: Martignoni, Franca organization: Universitätsklinikum Düsseldorf, Düsseldorf, Germany – sequence: 13 givenname: Jan-Philipp surname: Cieslik fullname: Cieslik, Jan-Philipp organization: Universitätsklinikum Düsseldorf, Düsseldorf, Germany – sequence: 14 givenname: Jan surname: Menke fullname: Menke, Jan organization: SHG-Kliniken Völklingen, Klinik für Radiologie, Völklingen, Germany – sequence: 15 givenname: Olaf surname: Ortmann fullname: Ortmann, Olaf organization: Arbeitsgemeinschaft Deutscher Tumorzentren, Germany – sequence: 16 givenname: Carmen surname: Stromberger fullname: Stromberger, Carmen organization: Charité – Universitätsmedizin Berlin, Klinik für Radioonkologie und Strahlentherapie, Berlin, Germany – sequence: 17 givenname: Karin surname: Oechsle fullname: Oechsle, Karin organization: Universitätsklinikum Hamburg-Eppendorf, II. Medizinische Klinik und Poliklinik, Hamburg, Germany – sequence: 18 givenname: Beate surname: Hornemann fullname: Hornemann, Beate organization: Universitätsklinikum Dresden, Psychoonkologischer Dienst, Dresden, Germany – sequence: 19 givenname: Friederike surname: Mumm fullname: Mumm, Friederike organization: Medizinische Klinik und Poliklinik III und Comprehensive Cancer Center (CCC München LMU), Klinikum der Universität München, LMU München, München, Germany – sequence: 20 givenname: Christoph surname: Grimm fullname: Grimm, Christoph organization: Abteilung für allgemeine Gynäkologie und gynäkologische Onkologie, Gynecologic Cancer Unit, Comprehensive Cancer Center, Medizinische Universität Wien, Wien, Austria – sequence: 21 givenname: Alina surname: Sturdza fullname: Sturdza, Alina organization: Universitätsklinikum AKH-Wien, Klinik für Radioonkologie, Wien, Austria – sequence: 22 givenname: Edward surname: Wight fullname: Wight, Edward organization: Universitätsspital Basel, Frauenklinik, Basel, Switzerland – sequence: 23 givenname: Kristina surname: Loessl fullname: Loessl, Kristina organization: Universitätsklinik Bern, Klinik für Radio-Onkologie, Bern, Switzerland – sequence: 24 givenname: Michael surname: Golatta fullname: Golatta, Michael organization: Universitätsklinikum Heidelberg, Frauenklinik, Heidelberg, Germany – sequence: 25 givenname: Volker surname: Hagen fullname: Hagen, Volker organization: St. Johannes Hospital Dortmund, Klinik für Innere Medizin II, Dortmund, Germany – sequence: 26 givenname: Timm surname: Dauelsberg fullname: Dauelsberg, Timm organization: Universitätsklinikum Freiburg, Klinik für Onkologische Rehabilitation, Freiburg, Germany – sequence: 27 givenname: Ingo surname: Diel fullname: Diel, Ingo organization: Praxisklinik am Rosengarten, Mannheim, Germany – sequence: 28 givenname: Karsten surname: Münstedt fullname: Münstedt, Karsten organization: Klinikum Ortenau, Frauenklinik, Ortenau, Germany – sequence: 29 givenname: Eberhard surname: Merz fullname: Merz, Eberhard organization: Zentrum für Ultraschalldiagnostik und Pränatalmedizin Frankfurt, Frankfurt am Main, Germany – sequence: 30 givenname: Dirk surname: Vordermark fullname: Vordermark, Dirk organization: Universitätsklinikum Halle (Saale), Klinik für Strahlentherapie, Halle (Saale), Germany – sequence: 31 givenname: Katja surname: Lindel fullname: Lindel, Katja organization: Städtisches Klinikum Karlsruhe, Klinik für Radioonkologie und Strahlentherapie, Karlsruhe, Germany – sequence: 32 givenname: Christian surname: Wittekind fullname: Wittekind, Christian organization: Universitätsklinikum Leipzig, Institut für Pathologie, Leipzig, Germany – sequence: 33 givenname: Volkmar surname: Küppers fullname: Küppers, Volkmar organization: Frauenarztpraxis, Zytologisches Labor, Düsseldorf, Germany – sequence: 34 givenname: Ralph surname: Lellé fullname: Lellé, Ralph organization: Universitätsklinikum Münster, Frauenklinik, Münster, Germany – sequence: 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Michael organization: Helios Klinikum Krefeld, Frauenklinik, Krefeld, Germany – sequence: 43 givenname: Heidemarie surname: Haase fullname: Haase, Heidemarie organization: Bundesverband Frauenselbsthilfe nach Krebs, Germany – sequence: 44 givenname: Marion surname: Gebhardt fullname: Gebhardt, Marion organization: Bundesverband Frauenselbsthilfe nach Krebs, Germany – sequence: 45 givenname: Ludwig surname: Kiesel fullname: Kiesel, Ludwig organization: Universitätsklinikum Münster, Frauenklinik, Münster, Germany – sequence: 46 givenname: Michael surname: Reinhardt fullname: Reinhardt, Michael organization: Pius Hospital Oldenburg, Klinik für Nuklearmedizin, Oldenburg, Germany – sequence: 47 givenname: Michael surname: Kreißl fullname: Kreißl, Michael organization: Universitätsklinikum Magdeburg, Klinik für Radiologie und Nuklearmedizin, Magdeburg, Germany – sequence: 48 givenname: Marianne surname: Kloke fullname: Kloke, Marianne organization: Kliniken Essen-Mitte, Klinik für Palliativmedizin, Essen, Germany – sequence: 49 givenname: Lars-Christian surname: Horn fullname: Horn, Lars-Christian organization: Universitätsklinikum Leipzig, Institut für Pathologie, Leipzig, Germany – sequence: 50 givenname: Regina surname: Wiedemann fullname: Wiedemann, Regina organization: Fliedner Fachhochschule Düsseldorf, Pflegewissenschaft, Düsseldorf, Germany – sequence: 51 givenname: Simone surname: Marnitz fullname: Marnitz, Simone organization: Universitätsklinikum Köln, Klinik für Radioonkologie, Cyberknife- und Strahlentherapie, Köln, Germany – sequence: 52 givenname: Anne surname: Letsch fullname: Letsch, Anne organization: Universitätsklinikum Schleswig-Holstein, Klinik für Innere Medizin II, Kiel, Germany – sequence: 53 givenname: Isabella surname: Zraik fullname: Zraik, Isabella organization: Kliniken Essen-Mitte, Klinik für Urologie, Essen, Germany – sequence: 54 givenname: Bernhard surname: Mangold fullname: Mangold, Bernhard organization: ZytoLabor Ludwigsburg, Ludwigsburg, Germany – sequence: 55 givenname: Jochen surname: Möckel fullname: Möckel, Jochen organization: Labor Schneider, Freiburg im Breisgau, Germany – sequence: 56 givenname: Céline surname: Alt fullname: Alt, Céline organization: Wolfgarten Radiologie Bonn, Bonn, Germany – sequence: 57 givenname: Pauline surname: Wimberger fullname: Wimberger, Pauline organization: Department of Gynecology and Obstetrics, Technische Universität Dresden and National Center for Tumor Diseases (NCT/UCC), Dresden, Germany – sequence: 58 givenname: Peter surname: Hillemanns fullname: Hillemanns, Peter organization: Medizinische Hochschule Hannover, Frauenklinik, Hannover, Germany – sequence: 59 givenname: Kerstin surname: Paradies fullname: Paradies, Kerstin organization: Konferenz onkologischer Kranken- und Kinderkrankenpflege (KOK), Germany – sequence: 60 givenname: Alexander surname: Mustea fullname: Mustea, Alexander organization: Universitätsklinikum Bonn, Frauenklinik, Bonn, Germany – sequence: 61 givenname: Dominik surname: Denschlag fullname: Denschlag, Dominik organization: Hochtaunus Kliniken, Frauenklinik, Bad Homburg, Germany – sequence: 62 givenname: Ulla surname: Henscher fullname: Henscher, Ulla organization: Hochtaunus Kliniken, Frauenklinik, Bad Homburg, Germany – sequence: 63 givenname: Reina surname: Tholen fullname: Tholen, Reina organization: Deutscher Verband für Physiotherapie (ZVK) e. V., Germany – sequence: 64 givenname: Simone surname: Wesselmann fullname: Wesselmann, Simone organization: Deutsche Krebsgesellschaft e. V., Berlin, Germany – sequence: 65 givenname: Matthias W. surname: Beckmann fullname: Beckmann, Matthias W. email: matthias.beckmann@uk-erlangen.de organization: Universitätsklinikum Erlangen |
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| Copyright | Thieme. All rights reserved. Thieme. All rights reserved. 2022 Georg Thieme Verlag KG |
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| Keywords | Zervixkarzinom follow-up Leitlinie Therapie therapy zervikale intraepitheliale Neoplasie guideline Nachsorge cervical cancer cervical intraepithelial neoplasia |
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Aim
This is an update of the interdisciplinary S3-guideline on the Diagnosis, Therapy and Follow-up of Cervical Cancer (AWMF Registry No. 032/033OL),... This is an update of the interdisciplinary S3-guideline on the Diagnosis, Therapy and Follow-up of Cervical Cancer (AWMF Registry No. 032/033OL), published in... Aim This is an update of the interdisciplinary S3-guideline on the Diagnosis, Therapy and Follow-up of Cervical Cancer (AWMF Registry No. 032/033OL), published... Aim This is an update of the interdisciplinary S3-guideline on the Diagnosis, Therapy and Follow-up of Cervical Cancer (AWMF Registry No. 032/033OL), published... |
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| Title | Diagnosis, Therapy and Follow-up of Cervical Cancer. Guideline of the DGGG, DKG and DKH (S3-Level, AWMF Registry No. 032/033OL, May 2021) – Part 2 with Recommendations on Psycho-oncology, Rehabilitation, Follow-up, Recurrence, Palliative Therapy and Healthcare Facilities |
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