uicc hpv and cervical cancer curriculum chapter 2.e. screening and diagnosis - staging prof. achim...
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![Page 1: UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - Staging Prof. Achim Schneider, MD, MPH UICC HPV et Cancer du col de lutérus](https://reader035.vdocuments.us/reader035/viewer/2022062621/551d9d7e497959293b8b6821/html5/thumbnails/1.jpg)
UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
UICC
HPV et Cancer du col de l’utérusCURRICULUM
![Page 2: UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - Staging Prof. Achim Schneider, MD, MPH UICC HPV et Cancer du col de lutérus](https://reader035.vdocuments.us/reader035/viewer/2022062621/551d9d7e497959293b8b6821/html5/thumbnails/2.jpg)
UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
diapo
01 Chapitre 2e
Classification des cancers du col de l’utérus
Prof. Achim Schneider, MD, MPHCharité Universitätsmedizin Berlin, Allemagne
![Page 3: UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - Staging Prof. Achim Schneider, MD, MPH UICC HPV et Cancer du col de lutérus](https://reader035.vdocuments.us/reader035/viewer/2022062621/551d9d7e497959293b8b6821/html5/thumbnails/3.jpg)
UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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02 Cancer du col utérin
• Diagnostic
• Classification
• Traitement
-Chirurgie
-Radiation
-Chimiothérapie
• Prognostic
• Suivi post thérapeutique
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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03 Système de classification FIGO
Stade I Stade II
Stade III Stade IV
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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04 Stade I (1)
TNM
FIGO
TX La Tumeur Primitive ne peut être classée
T0 Absence de tumeur primitive
Tis 0 Carcinome in situ (cancer pré-invasif )
T1 I Carcinome Cervical limité à l’utérus (on ne tiendra pas compte de l’extension au corps utérin)
T1a I A Cancer Invasif au niveau microscopique seul. Toutes lésions macroscopiquement visible (même si l’invasion est superficielle) sont des stades IB/T1b
T1a1 I A1 Invasion du stroma de 3 mm ou moins en profondeur et de 7 mm ou moins de diamètre
T1a2 I A2 Invasion du stroma de 3 mm à 5 mm de profondeur et de diamètre au plus de 7 mm
T1b I B Lésion cliniquement visible limitée au col ou lésion microscopique plus grande que celle décrite en IA2
T= Tumeur primitive ; N= ganglions lymphatiques régionaux ; M= métastase
FIGO: Fédération Internationale de Gynécologie et ObstétriqueSource: http://screening.iarc.fr/atlasclassiftnm.php#reference
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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05 Stade I (2)
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
Slide
06 Stade I (3)
TNM
FIGO
T1b I B Lésion cliniquement visible limitée au col ou lésion microscopique de dimenssion supérieure à IA2
T1b1 I B1 Lésion cliniquement visible de 4 cm ou moins
T1b2 I B2 Lésion cliniquement visible de plus de 4 cm
T= Tumeur primitive; T= Tumeur primitive ; N= ganglions lymphatiques régionaux ; M= métastase FIGO: Fédération Internationale de Gynécologie et ObstétriqueSource: http://screening.iarc.fr/atlasclassiftnm.php#reference
![Page 8: UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - Staging Prof. Achim Schneider, MD, MPH UICC HPV et Cancer du col de lutérus](https://reader035.vdocuments.us/reader035/viewer/2022062621/551d9d7e497959293b8b6821/html5/thumbnails/8.jpg)
UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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07 Stade I (4)
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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08 Stade II
TNM
FIGO
T2 II Tumeur étendue au de là de l’utérus mais sans atteinte du mur pelvien ou du tiers inférieur du vagin
T2a II A Sans invasion des paramètres
T2b II B Avec invasion des paramètres
T=Primary tumour; N=Regional lymph nodes; M=Distant metastasis FIGO: International Federation of Gynaecology and ObstetricsSource: http://screening.iarc.fr/atlasclassiftnm.php#reference
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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09 Stade III
TNM
FIGO
T3 III Tumeur étendue jusqu’au mur pelvien ou envahissant le tiers inférieur du vagin et/ou causant une hydronéphrose ou une insuffisance rénale
T3a III A Sans extension au mur pelvienLa tumeur envahi le tiers inférieur du vagin
T3b III B La tumeur atteint le mur pelvien et/ou cause une hydronéphrose ou une insuffisance rénale
T=Primary tumour; N=Regional lymph nodes; M=Distant metastasis FIGO: International Federation of Gynaecology and ObstetricsSource: http://screening.iarc.fr/atlasclassiftnm.php#reference
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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10 Stade IV
TNM
FIGO
T4 IV Tumeur infiltrant la muqueuse de la vessie ou du rectum et/ou s’étendant au de là du pelvis et/ou avec des métastases
T4 IV A Tumeur infiltrant la muqueuse de la vessie ou du rectum et/ou s’étendant au de là du pelvis mais sans métastase
T4 IV B Avec des métastases
T=Primary tumour; N=Regional lymph nodes; M=Distant metastasis FIGO: International Federation of Gynaecology and ObstetricsSource: http://screening.iarc.fr/atlasclassiftnm.php#reference
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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11 Problèmes de classification
• Le cancer du col est la seule tumeur gynécologique qui peut être stadée cliniquement!
-La classification résulte de l’examen colposcopique, de la cystoscopie, rectoscopie, biopsie ou conisation et des radiographies (Urographie I.V. , radiographie pulmonaire)
-Des Informations données par le scanner, la scintigraphie, la lymphographie, l’IRM, et/ou la laparoscopie ne sont pas nécessaires
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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12 Système de classification FIGO
• FIGO ne prend pas en considération:
-L’état des ganglions lymphatiques
-L’envahissement de la vessie ou du rectum
-La dissémination Intra-abdominale
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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13 Image en IRM
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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14 Infiltration de la vessie
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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15 Infiltration de la paroi du rectum
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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16 Infiltration du cul de sac de Douglas
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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17 Evaluation des ganglions lymphatiques para-aortiques
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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18Envahissement d’un ganglion lymphatique pelvique gauche
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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19 Exérèse des ganglions lymphatiques para-aortiques
envahis
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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20 Le ganglion sentinelle dans les cancers du col utérin – coloration au
bleu
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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21Le ganglion sentinelle dans les cancers du col utérin – Marquage au Technétium et détection
par gamma caméra
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UICC HPV and Cervical Cancer Curriculum Chapter 2.e. Screening and diagnosis - StagingProf. Achim Schneider, MD, MPH
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22
Merci
Cette présentation est disponible sur le site de l’UICC: www.uicc.org/curriculum