Cancer risk-reducing surgery: Brazilian Society of Surgical Oncology Guideline Part 2 (Gastrointestinal and thyroid).
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Carneiro Vandré C G, Gifoni Ana C L V C, Rossi Benedito M, da Cunha Andrade Carlos E M, de Lima Fernanda T, de Campos Reis Galvão Henrique, da Rocha Jose C C, da Silva Barreto Leonardo S, Ashton-Prolla Patrícia, Guindalini Rodrigo S C, de Farias Terence P, Andrade Wesley P, de Sousa Fernandes Paulo H, Ribeiro Reitan, Lopes Andre, Tsunoda Audrey T, Azevedo Bruno R B, Marins Carlos A M, de Albuquerque Oliveira Uchôa Diego N, Dos Santos Evandro A S, Coimbra Felipe J F, Filho Francisco A D, de Oliveira Lopes Francisco C, Fernandes Francisco G, Ritt Guilherme F, Laporte Gustavo A, Guimaraes Gustavo C, Feitosa E Castro Neto Heládio, Dos Santos Jocela C, de Carvalho Vilela Jordana B, Junior Jorge G M, da Cunha Juliano R, Milhomem Leonardo M, da Silva Luciana M, de Freitas Maciel Luiza, Ramalho Nathalia M, Nunes Rafael L, de Araújo Rodrigo G, de Assunção Ehrhardt Rogério, Bocanegra Ronald E D, Junior Tyrone C S, de Oliveira Viviane R, Surimã Walyson S, de Melo Melquiades Miriam, de Castro Ribeiro Heber S, Oliveira Alexandre F
Аннотация
OBJECTIVES: The Brazilian Society of Surgical Oncology (BSSO) developed this guideline to establish national benchmarks for cancer risk-reducing operations.
METHODS: The guideline was prepared from May to December 2021 by a multidisciplinary team of experts to discuss the surgical management of cancer predisposition syndromes. Eleven questions were defined and assigned to expert groups that reviewed the literature and drafted preliminary recommendations. Following a review by the coordinators and a second review by all participants, the groups made final adjustments, classified the level of evidence, and voted on the recommendations.
RESULTS: For all questions including risk-reducing colectomy, gastrectomy, and thyroidectomy, a major agreement was achieved by the participants, always using accessible alternatives.
CONCLUSION: This and its accompanying article represent the first guideline in cancer risk reduction surgery developed by the BSSO and it should serve as an important reference for the management of families with cancer predisposition.