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Related Experiment Videos

Jérôme Alexandre1, Marie-Aude Le Frère-Belda2, Antoine Angelergues3

  • 1Service d'oncologie médicale, AP-HP-centre université de Paris cité, site Cochin, 123 boulevard de Port-Royal, 75014 Paris, France.

Bulletin Du Cancer
|August 12, 2023
PubMed
Summary

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This summary is machine-generated.

Updated guidelines for advanced or relapsing endometrial cancer management now include new treatments improving patient survival. Treatment choice depends on tumor characteristics, with immunotherapy and targeted therapies offering new options.

Area of Science:

  • Gynecologic Oncology
  • Medical Oncology
  • Clinical Practice Guidelines

Context:

  • The management of advanced or relapsing endometrial cancer has evolved since the 2020 recommendations.
  • New therapeutic options have demonstrated improved life expectancy for patients.
  • This necessitates an update to clinical practice guidelines.

Purpose:

  • To provide updated clinical practice recommendations for the management of advanced/relapsing endometrial cancer.
  • To incorporate recent advancements in treatment options.
  • To guide clinicians in selecting appropriate therapies based on tumor characteristics.

Summary:

  • First-line treatment selection involves chemotherapy (carboplatin/paclitaxel) or hormone therapy (progestin), guided by tumor features (histology, grade, hormone receptor status, progression rate).
Keywords:
ChemotherapyChimiothérapieHormone therapyHormonothérapieLenvatinibMMR statusPembrolizumabStatut MMR

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  • For dMMR tumors, immunotherapy in clinical trials is an option.
  • Post-first-line standard treatment is pembrolizumab plus lenvatinib, requiring close monitoring for toxicity.
  • Chemotherapy remains an option for salvage or specific scenarios (e.g., pMMR tumors with long disease-free interval).
  • Impact:

    • These updated recommendations aim to optimize treatment strategies for advanced/relapsing endometrial cancer.
    • Incorporating novel therapies like immunotherapy and targeted agents may further improve patient prognosis.
    • Ongoing clinical trials are crucial for continued advancements in personalized treatment approaches.