ESTRO 2022

Session Item

Gynaecological

Session Code: 6014

Session Type: Poster (digital)

Track: Clinical

Consensus radiotherapy guidelines vulvar cancer: Spanish GINECOR / SEOR group modified Delphi study

Sofia Cordoba Largo, Spain

Presentation Number: PO-1349

Abstract

Abstract Title:

Consensus radiotherapy guidelines vulvar cancer: Spanish GINECOR / SEOR group modified Delphi study

Authors:

Sofía Córdoba Largo¹, Isabel Rodriguez Rodriguez², Belén Belinchón Olmeda², Javier Anchuelo Latorre³, Luz Couselo Paniagua⁴, Irene Martínez⁵, Dina Najjari Jamal⁵, Paola Navarrete⁶, Elena Villafranca Iturre⁷, Silvia Rodriguez Villalba⁸, Francisco Celada Álvarez⁹, Dolores Farga⁹, Cristina de la Fuente Alonso¹⁰, Sonia García Cabezas¹¹, María sánchez Belda¹²

¹Hospital Puerta de Hierro de Majadahonda, Radiation Oncology, Madrid, Spain; ²Hospital La Paz, Radiation Oncology, Madrid, Spain; ³Hospital Universitario Marqués de Valdecilla, Radiation Oncology, Santander, Spain; ⁴Hospital Clínico Universitario de Santiago., Radiation Oncology, Santiago de Compostela, Spain; ⁵Instituto Catalán de Oncología, Radiation Oncology, Barcelona, Spain; ⁶Hospital Universitario Marqués de Valdecilla,, Radiation Oncology, Santander, Spain; ⁷Complejo Hospitalario de Navarra, Radiation Oncology, Pamplona, Spain; ⁸Hospital Clínica Benidorm, Radiation Oncology, Alicante, Spain; ⁹Hospital Universitario y Politécnico La Fe, Radiation Oncology, Valencia, Spain; ¹⁰Hospital Puerta de Hierro de Majadahonda, Radiation Oncology, Madrid, Spain; ¹¹Hospital Universitario Reina Sofía, Radiation Oncology, Córdoba, Spain; ¹²Hospital Clínico Universitario de Valladolid, Radiation Oncology, Valladolid, Spain

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Purpose or Objective

The present consensus was developed by a team of spanish radiation oncologists on behalf of the subgroup GINECOR of the Spanish Society of Radiation Oncology, (SEOR) to provide a current review of the radiation treatment of VC. A national panel of experts were recruited to reach consensus on the radiation treatment of early and advanced VC.

Material and Methods

Prior to the discussion of the statements, we performed an extensive analysis of current medical literature from peer-reviewed journal to define clinical scenarios and evidence-based treatment options. A 2-round web-based modified Delphi study was conducted to reach a consensus on the appropriateness of the different therapeutic options in each clinical setting. The appropriateness of various therapies was classified as appropriate, inappropriate, or uncertain. In those instances where evidence is lacking or not definitive, expert opinion was used to formulate recommendations.

Results

We recruited 16 radiation oncologist experts from different Spanish regions and clinical setting. Three clinical scenarios were defined: adjuvant treatment locally advanced vulvar cancer and recurrent disease. A questionary of 20 questions regarding indications and technique of radiotherapy was evaluated by panel members to reach consensus on the appropriateness of treatment approaches. Questions are listed in Table. A high level of agreement over 80% was reached.

Conclusion

In those aspects of vulvar cancer were evidence is not definitive, expert panel consensous may help in clinical decision-making.