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. 2022 Feb 11;82(2):139–180. doi: 10.1055/a-1671-2158
No. Recommendations/Statements GoR LoE Sources
8.8.
reviewed 2021
Consensus-based recommendation after systematic research
Adjuvant therapy following primary surgical therapy should be administered on the basis of the postoperative histological tumor stage as follows:
Negative lymph nodes; R0; no risk factors
  • Follow-up

Negative lymph nodes; R0; one or two risk factors (L1, V1, deep stromal invasion, tumor size > 4 cm)
  • Individualized decision

Histologically confirmed lymph-node metastases, pelvic (pN1) or R1 or several (≥ 3) simultaneous risk factors (L1, V1, deep stromal invasion, tumor size > 4 cm, as well as grade G3 if two additional risk factors are present)
  • Adjuvant radio(chemo)therapy including lymphatic drainage areas in the histologically identified area (pelvic)

Histologically confirmed para-aortic lymph-node metastases (pM1)
  • Extended adjuvant radio(chemo)therapy including lymphatic drainage areas in the histologically identified area (pelvic and para-aortic fields)

Distant metastases, M1 (organ metastases, peritoneal carcinosis, ovarian metastases)
  • Systemic chemotherapy; radiotherapy only indicated in case of bleeding problems

EC