2025 ESGO-ESTRO-ESP Endometrial cancer guidelines As part of its mission to improve the quality of care for women with gynaecological cancers, the European Society of Gynaecological Oncology (ESGO) jointly with the European Society for Radiotherapy and Oncology (ESTRO) and the European Society of Pathology (ESP) decided to update the ESGO-ESTRO-ESP evidence-based guidelines published in 2021 by incorporating the revised FIGO staging system published in 2023 and the large body of new evidence addressing the management of endometrial carcinoma. The developmental process of these guidelines was based on a systematic literature review and critical appraisal process involving an international multidisciplinary development group consisting of 30 experts from relevant disciplines (gynaecological oncology, radiation and medical oncology and pathology) as well as a patient representative, led by Prof. Nicole Concin (ESGO), Prof. Remi Nout (ESTRO) and Prof. Xavier Matias-Guiu (ESP). The guidelines were reviewed by independent international practitioners and three patient representatives from Asia, Europe, North Africa, North America, the Middle East, and South America. The article of the updated guidelines is planned to be published in Q2 2025. 2021 guidelines article is available here: ESGO-ESTRO-ESP Endometrial cancer guidelines 2021 2025 Update Working Group The European Society of Gynaecological Oncology (ESGO), European Society for Radiotherapy and Oncology (ESTRO) and the European Society of Pathology (ESP) would like to express their sincere gratitude to the international experts panel, who devoted their time and effort to the development of the update of ESGO-ESTRO-ESP Guidelines for the management of patients with endometrial carcinoma. Expert Country Institution Concin Nicole Austria Department of Gynecology and Obstetrics, Medical University of Vienna, Austria Nout Remi the Netherlands Radiotherapy, Erasmus MC Cancer Centre, Rotterdam, The Netherlands Matias-Guiu Xavier Spain Department of Pathology, Hospital Universitari Arnau de Vilanova, University of Lleida, Institute of Biomedical Research of Lleida (Irblleida), Lleida, Spain Department of Pathology, Hospital Universitari de Bellvitge, Bellvitge Institute of Biomedical Research (IDIBELL), University of Barcelona, Barcelona, Spain Francois Planchamp France Institut Bergonié, Bordeaux, France Abu-Rustum Nadeem United States Chief, Gynecology Service, Founder’s Chair Gynecologic Oncology, Professor, Weill Cornell Medical College Memorial Sloan Kettering Cancer Center 1275 York Avenue, H-1305, New York, NY 10065 BosseTjalling the Netherlands Department of pathology, Leiden University Medical Center, The Netherlands. Cibula David Czech Republic Department of Gynaecology, Obstetrics and Neonatology, General University Hospital in Prague, First Faculty of Medicine, Charles University, Prague, Czech Republic Colombo Nicoletta Italy Gynecologic Program , European Institute of oncology IRCCS, Milan Department of Medicine and Surgery, University of Milan-Bicocca, Italy Creutzberg Carien the Netherlands Department of Radiation Oncology, Leiden University Medical Center, Leiden, The Netherlands Espenel Sophie France Department of Radiation Oncology, Gustave Roussy Cancer Campus, 114 Rue Edouard Vaillant, 94800 Villejuif, France Fagotti Anna Italy Gynecologic Oncology Unit, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Università Cattolica del Sacro Cuore Rome Italy Fotopoulou Christina United Kingdom Imperial College London Faculty of Medicine, Department of Surgery and Cancer, London (United Kingdom) Gatius Sonia Spain Pathology Department and Oncological Pathology Research Group. Hospital Universitari Arnau de Vilanova de Lleida, Universitat de Lleida, IRB Lleida. CIBERONC González-Martín Antonio Spain Medical Oncology Department, Cancer Center Clinica Universidad de Navarra, Madrid, Spain Chargari Cyrus France Radiation Oncology department, University Hospital Pitié Salpêtrière, Paris, France Lax Sigurd Austria Pathology, Hospital Graz II, Graz, Austria Pathology, Johannes Kepler University, Linz, Austria Ledermann Jonathan United Kingdom Cancer Research UK and UCL Cancer Centre, UCL Cancer Institute, University College London, London, United Kingdom. Levy Bar Israel Management, HaBait Shel Bar - Israel Women's Cancer Association (RA) Department of Public Health, Faculty of Medicine, Tel Aviv University Lorusso Domenica Italy Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20072 Pieve Emanuele, Milan, Italy IRCCS Humanitas Research Hospital, via Manzoni 56, 20089 Rozzano, Milan, Italy Macchia Gabriella Italy Radiation Oncology Unit, Responsible Research Hospital, Campobasso, Molise, Italy Marth Christian Austria Department of Obstetrics and Gynecology, Medical University Innsbruck, Innsbruck, Austria Mirza Mansoor Denmark Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark Morice Philippe France Department of surgery, Gustave Roussy Cancer Campus, Villejuif, France University Paris Saclay, Le Kremlin Bicêtre, France Oaknin Ana Spain Gynaecologic Cancer Programme, Vall d'Hebron Institute of Oncology (VHIO), Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Barcelona, SpainOncology Data Science (ODysSey) VHIO, Barcelona, Spain Raspollini Maria Rosaria Italy Histopathology and Molecular Diagnostics, University Hospital Careggi, Florence, Via Pieraccini, 6 – 50129 Florence - Italy Sehouli Jalid Germany Department of Gynecology with Center for Oncological Surgery, Charité - Universitätsmedizin Berlin, Berlin, Germany North-Eastern German Society of Gynaecologic Oncology (NOGGO), Berlin, Germany Schwameis Richard Austria Department of Gynecology and Obstetrics, Medical University of Vienna, Austria Sturdza Alina Austria Medical University of Vienna, Department of Radiation Oncology, Comprehensive Cancer Centre Vienna Taylor Alexandra United Kingdom Dept of Gynaecology Oncology, The Royal Marsden NHS Foundation Trust, UK Vergote Ignace Belgium Gynaecological Oncology, University Hospitals Leuven, Leuven, Belgium – European Union Westermann Anneke the Netherlands Amsterdam University Medical Centers, Department of Medical Oncology, Amsterdam, Netherlands Wimberger Pauline Germany Department of Gynecology and Obstetrics, Technische Universität Dresden, Dresden, and NCT Dresden, Dresden, Germany Fetscherstr. 74, 01307 Dresden, Germany External reviewers 225 reviewers - 50 countries ESGO would also like to thank external reviewers who have taken the time to provide their feedback on the document elaborated in the framework of the ESGO-ESTRO-ESP Endometrial cancer guidelines. 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