[Surgical therapy of endometrial cancer]

Surgery is generally accepted as the basis of therapy in endometrial carcinoma. In stage I disease with well-differentiated lesions (G I), the mainstay and generally accepted basis for management is surgical, usually extrafascial total abdominal hysterectomy and bilateral salpingo-oophorectomy. In the cases of stage I and dedifferentiated lesions (G II/G III) bilateral pelvic lymphadenectomy is performed additionally. The surgical method in stage II lesions is radical abdominal hysterectomy, bilateral pelvic lymphadenectomy, and bilateral salpingo-oophorectomy.