Current and future surgical approaches in the management of endometrial carcinoma

摘要: The surgical approach to endometrial carcinoma has been and continues be inconsistent. It ranges from hysterectomy alone for all patients, with lymphadenectomy based on the surgeon’s criteria risk of nodal metastasis preoperative grading and/or intraoperative assessments, limited lymphadenectomy, full pelvic para-aortic patients. Recent evidence clearly described very poor correlation pre- assessments final pathologic findings. Lymphadenectomy also found therapeutic in high-risk groups. Despite this, many surgeons have not adopted a policy comprehensive staging patients carcinoma. All diagnosed sampling should undergo if technically medically possible. Surgical cytoreduction metastatic disease is associated wi...