Endometrial cancer surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
'''Stage I | '''Stage I Endometrial cancer''' | ||
:* A total [[hysterectomy]] and bilateral [[salpingo-oophorectomy]] should be done if the tumor: | :* A total [[hysterectomy]] and bilateral [[salpingo-oophorectomy]] should be done if the tumor: | ||
::* Is well or moderately differentiated. | ::* Is well or moderately differentiated. | ||
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::* Has less than a 50% myometrial invasion. | ::* Has less than a 50% myometrial invasion. | ||
Selected pelvic lymph nodes may be removed. If they are negative, no postoperative treatment is indicated. Postoperative treatment with a vaginal cylinder is advocated by some clinicians. | Selected pelvic lymph nodes may be removed. If they are negative, no postoperative treatment is indicated. Postoperative treatment with a vaginal cylinder is advocated by some clinicians. | ||
'''Stage II Endometrial cancer''' | |||
'''Stage II | |||
:* If cervical involvement is documented, options include radical hysterectomy, bilateral salpingo-oophorectomy, and pelvic and para-aortic [[lymph node]] dissection. | :* If cervical involvement is documented, options include radical hysterectomy, bilateral salpingo-oophorectomy, and pelvic and para-aortic [[lymph node]] dissection. | ||
:* If the [[cervix]] is clinically uninvolved but extension to the cervix is documented on postoperative pathology, radiation therapy should be considered. | :* If the [[cervix]] is clinically uninvolved but extension to the cervix is documented on postoperative pathology, radiation therapy should be considered. | ||
'''Stage III Endometrial cancer''' | |||
'''Stage III | |||
:* The patients are treated with surgery, followed by [[chemotherapy]], or [[radiation therapy]], or both. | :* The patients are treated with surgery, followed by [[chemotherapy]], or [[radiation therapy]], or both. | ||
'''Stage IV Endometrial cancer''' | |||
'''Stage IV | |||
:* When possible, patients with stage IV endometrial cancer are treated with surgery, followed by chemotherapy, or radiation therapy, or both. | :* When possible, patients with stage IV endometrial cancer are treated with surgery, followed by chemotherapy, or radiation therapy, or both. | ||
Revision as of 15:59, 22 September 2015
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Endometrial cancer Microchapters |
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Endometrial cancer surgery On the Web |
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American Roentgen Ray Society Images of Endometrial cancer surgery |
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Risk calculators and risk factors for Endometrial cancer surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2]
Overview
The feasibility of surgery depends on the stage of endometrial cancer at diagnosis.
Surgery
Stage I Endometrial cancer
- A total hysterectomy and bilateral salpingo-oophorectomy should be done if the tumor:
- Is well or moderately differentiated.
- Involves the upper 66% of the corpus.
- Has negative peritoneal cytology.
- Is without vascular space invasion.
- Has less than a 50% myometrial invasion.
Selected pelvic lymph nodes may be removed. If they are negative, no postoperative treatment is indicated. Postoperative treatment with a vaginal cylinder is advocated by some clinicians. Stage II Endometrial cancer
- If cervical involvement is documented, options include radical hysterectomy, bilateral salpingo-oophorectomy, and pelvic and para-aortic lymph node dissection.
- If the cervix is clinically uninvolved but extension to the cervix is documented on postoperative pathology, radiation therapy should be considered.
Stage III Endometrial cancer
- The patients are treated with surgery, followed by chemotherapy, or radiation therapy, or both.
Stage IV Endometrial cancer
- When possible, patients with stage IV endometrial cancer are treated with surgery, followed by chemotherapy, or radiation therapy, or both.