Info

🌱 來自: ESMO Checklist

ESMO Checklist_Gynaecologic Cancer

Past Personal Medical History and Vascular Risk Factors

Other Cancers

Family Cancer History

Gynaecological History

• Past Gyneco Surgery
• Pregnancy
• Childbirth
• Fertility Preserving Procedures
• Hormonal Therapy

Pap Test and HPV Status

• Including HPV Vaccination

Past Surgical and RT History

Concurrent Medication

Allergies

Smoking History

• <> packs/year from age <> to age <>

Alcohol Consumption

Normal Weight

• Height:
• BMI:

Present Medical Conditions (Date: <>/<>/<>)

• Main Symptoms:
• Weight Loss:
• ECOG Performance Status:
• Pain (Scale):
• Other Relevant Clinical Conditions:

Diagnosis and Clinical Staging (Date: <>/<>/<>)

• CA 125
• BRCA2/1 Status
• Nodal Staging

Imaging and Scans

• CT (Date: <>/<>/<>)
• MRI (Date: <>/<>/<>)
• PET/CT (Date: <>/<>/<>)
• Ultrasound (Date: <>/<>/<>)
• Technetium Bone Scan (Date: <>/<>/<>)
• Whole Body CT Scan (Date: <>/<>/<>)
• Abdomen MRI (Date: <>/<>/<>)
• PET/CT (Date: <>/<>/<>)

Staging for Metastases

• TNM Stage and Grade (Date: <>/<>/<>)

Histological Analysis (Date: <>/<>/<>)

• Biopsy
• Surgery: Histology, Grade, ER, HER2, MSI Status, LVSI
• Genetic Testing: BRCA2/1, HRD, p53
• pTNM Staging
• FIGO Staging

Timeline for Further Work-Up

• Checked and tight enough: YES/NO

MDT Discussion and Decision (Date: <>/<>/<>)

• Surgery
• Adjuvant Medical Therapy
• Neo-adjuvant Medical Therapy
• Chemoradiotherapy
• 1st Line of Metastatic Therapy
• 2nd Line of Metastatic Therapy
• 3rd and Later Lines of Metastatic Therapy
• Palliative ST (Bones, CNS)
• Supportive and Palliative Care
• Enrolment in a Clinical Trial
• Compassionate Use/Expanded Access Programme

Treatment Options

• Discussed with the patient and strategy accepted: YES/NO