[The first Mexican consensus of XXXX . Grupo de Investigaci  n en C  ncer de Ovario y Tumores Ginecol  gicos de M  xico].

@entity1204 @entity1 @entity3556 @entity440 @entity6 @entity548 @entity5 @entity101 @entity3 @entity694
INTRODUCTION: @entity1204 ( @entity1204 ) is the second most common @entity5 worldwide in the peri and postmenopausal period. Most often for the endometrioid variety. In early clinical stages long-term survival is greater than 80%, while in advanced stages it is less than 50%. In our country there is not a standard management between institutions. GICOM collaborative group under the auspice of different institutions have made the following consensus in order to make recommendations for the management of @entity1 with this type of @entity5 . MATERIAL AND METHODS: The following recommendations were made by independent professionals in the field of Gynecologic Oncology, questions and statements were based on a comprehensive and systematic review of literature. It took place in the context of a meeting of four days in which a debate was held. These statements are the conclusions reached by agreement of the @entity1 members. RESULTS: Screening should be performed @entity1 at high risk ( @entity6 , family history of inherited @entity694 , Lynch S. type II). Endometrial thickness in postmenopausal @entity1 is best evaluated by transvaginal US, a thickness greater than or equal to 5 mm must be evaluated. @entity1 taking @entity440 should be monitored using this method. @entity548 in the usual main symptom, all post menopausal @entity1 with @entity3556 should be evaluated. Diagnosis is made by histerescopy-guided biopsy. Magnetic resonance is the best image method as preoperative evaluation. Frozen section evaluates histologic grade, @entity3 , cervical and adnexal involvement. Total abdominal hysterectomy, bilateral salpingo oophorectomy, pelvic and para-aortic lymphadenectomy should be performed except in endometrial histology grades 1 and 2, less than 50% invasion of the myometrium without evidence of disease out of the uterus. Omentectomy should be done in histologies other than endometriod. Surgery should be always performed by a Gynecologic Oncologist or Surgical Oncologist, laparoscopy is an alternative, especially in @entity1 with @entity101 and @entity6 for being less morbid. Adjuvant treatment after surgery includes radiation therapy to the pelvis, brachytherapy, and chemotherapy. @entity1 with Stages III and IV should have surgery with intention to achieve optimal cytoreduction because of the impact on survival (51 m vs. 14 m), the treatment of recurrence can be with surgery depending on the pattern of relapse, systemic chemotherapy or hormonal therapy. Follow-up of @entity1 is basically clinical in a regular basis. CONCLUSIONS: Screening programme is only for high risk @entity1 . Multidisciplinary treatment impacts on survival and local control of the disease, including surgery, radiation therapy and chemotherapy, hormonal treatment is reserved to selected cases of recurrence. This is the first attempt of a Mexican Collaborative Group in Gynecology to give recommendations is a special type of @entity5 .
