الإدارة الجراحية والجهازية لساركوما الرحم المتقدمة (المرحلة FIGO III والمرحلة IV)

References

• For stage III, complete surgical removal of disease is the gold standard, including total hysterectomy and bilateral salpingo-oophorectomy and resection of any other suspicious lesions including peritoneal disease and/or bulky/suspicious nodes (IV, A).
• For stage IV, the option for primary resection depends on the number and location(s) of metastases as well as the biology and histological subtype.
• Surgery should be considered in primary oligometastatic disease together with complete surgical resection of primary tumor if it is deemed feasible with acceptable morbidity (IV, A).
• In cases of initially unresectable uterine sarcoma, primary systemic treatment is an option followed by re-evaluation for surgery depending on response (IV, B).