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Pelvic-paraaortic lymphadenectomy in clinical Stage I endometrial adenocarcinoma: a multicenter study
1GATA School of Medicine, Dept. of Obstetrics & Gynecology, Ankara, Turkey.
European Journal of Gynaecological Oncology
|June 17, 2003
Abstract
Purpose:
To show the importance of complete surgical pathologic staging of clinical Stage I endometrial adenocarcinoma.
Methods:
A total of 106 consecutive cases of clinical Stage I endometrial adenocarcinomas in two different centers were studied.
Results:
We found an isolated paraaortic invasion in one patient without pelvic node invasion (0.94%). There were only three cases of pelvic lymph-node invasion (2.83%) and three cases of pelvic-paraaortic lymph-node invasion.
Conclusion:
We recommend complete lymphadenectom; the real stages of the cases can be determined more correctly and excessive treatments can be avoided.