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Rev Obstet Gynecol. 2012;5(1):28-34.

Comprehensive surgical staging for endometrial cancer.

Author information

  • 1Division of Gynecologic Oncology, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine Pittsburgh, PA.

Abstract

Despite a shift from clinical to surgical staging of endometrial cancer in 1988, performance of comprehensive surgical staging for clinically early-stage endometrial cancer remains controversial. Low-, intermediate-, and high-risk groups have been defined pathologically. Herein, we describe the risks and benefits of comprehensive surgical staging. Comprehensive surgical staging is encouraged in high-risk histologies, whereas a method of triage should be used to determine who among the low-grade endometrioid histology may benefit from comprehensive staging.

KEYWORDS:

Endometrial cancer; Para-aortic lymphadenectomy; Pelvic lymphadenectomy; Surgical staging

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