Endometrial cancer surgery: Difference between revisions
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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 Endometrial cancer'''<ref> Endometrial Cancer Treatment. National Cancer Institute http://www.cancer.gov/types/uterine/hp/endometrial-treatment-pdq#section/_45 Accessed on September, 7 2015</ref> | ||
:* 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 Endometrial cancer'''<ref> Endometrial Cancer Treatment. National Cancer Institute http://www.cancer.gov/types/uterine/hp/endometrial-treatment-pdq#section/_54 Accessed on September, 7 2015</ref> | ||
:* 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 Endometrial cancer'''<ref> Endometrial Cancer Treatment. National Cancer Institute http://www.cancer.gov/types/uterine/hp/endometrial-treatment-pdq#section/_59 Accessed on September, 7 2015</ref> | ||
:* 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 13:25, 28 September 2015
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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 is the mainstay of treatment for endometrial cancer stage(I-III).
Surgery
Stage I Endometrial cancer[1]
- A total hysterectomy and bilateral salpingo-oophorectomy should be done if the tumor:Stage I Endometrial Cancer
- 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[2]
- 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[3]
- The patients are treated with surgery, followed by chemotherapy, or radiation therapy, or both.
Stage IV Endometrial cancer[4]
- When possible, patients with stage IV endometrial cancer are treated with surgery, followed by chemotherapy, or radiation therapy, or both.
References
- ↑ Endometrial Cancer Treatment. National Cancer Institute http://www.cancer.gov/types/uterine/hp/endometrial-treatment-pdq#section/_40 Accessed on September, 7 2015
- ↑ Endometrial Cancer Treatment. National Cancer Institute http://www.cancer.gov/types/uterine/hp/endometrial-treatment-pdq#section/_45 Accessed on September, 7 2015
- ↑ Endometrial Cancer Treatment. National Cancer Institute http://www.cancer.gov/types/uterine/hp/endometrial-treatment-pdq#section/_54 Accessed on September, 7 2015
- ↑ Endometrial Cancer Treatment. National Cancer Institute http://www.cancer.gov/types/uterine/hp/endometrial-treatment-pdq#section/_59 Accessed on September, 7 2015