AUTHOR=Inzani Frediano , Arciuolo Damiano , Angelico Giuseppe , Santoro Angela , Travaglino Antonio , D’Alessandris Nicoletta , Scaglione Giulia , Valente Michele , Cianfrini Federica , Raffone Antonio , Zannoni Gian Franco TITLE=Assessing Post-Treatment Pathologic Tumor Response in Female Genital Tract Carcinomas: An Update JOURNAL=Frontiers in Oncology VOLUME=12 YEAR=2022 URL=https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2022.814989 DOI=10.3389/fonc.2022.814989 ISSN=2234-943X ABSTRACT=

In the last decades, several new therapeutic strategies have been introduced in the field of gynecologic oncology. These include neoadjuvant chemotherapy for high-grade serous tubo-ovarian carcinoma, hormonal fertility-sparing strategies for endometrial cancer, pressurized intraperitoneal aerosol chemotherapy (PIPAC) for surgically incurable peritoneal metastasis, and neoadjuvant treatments for locally advanced cervical carcinomas. All these recent advances lead to the development of novel scoring systems for the evaluation of pathological response related to specific treatments. In this regard, pathological evaluation of the morphological modifications related to these treatments and the definition of a tumor regression grading score have been introduced in clinical practice in order to achieve a more efficient prognostic stratification of patients affected by gynecological malignancies. The aim of the present paper is to provide a detailed review on the post-treatment pathological scoring systems in patients affected by gynecological malignancies.