Prognosis and treatment of endometrial cancer

摘要: An understanding of the patterns spread and prognostic factors influencing survival is necessary to develop rational treatment programs for patients with endometrial cancer. The most important risk include stage tumor, status pelvic lymph nodes, depth myometrial penetration, tumor grade, cell type, patient age. Because inherent inaccuracies staging based on examination inability assess nodes or penetration clinically, errors in management often result when radiation therapy delivered prior operation. Therefore, a rationale offered primary operative Stage I disease, consideration adjunctive following operation extend disease thorough evaluation high-risk factors. It suggested that more advanced stages be considered pretreatment evaluation. Data are presented which refute theoretical objections this approach.