[The prospective study on the scope of extended operation for endometrial carcinoma].
OBJECTIVE
To investigate the scope of extended operation for endometrial carcinoma.


METHODS
105 patients underwent extended or less extended hysterectomy plus pelvic and/or para-aortic lymphadenectomy and 36 patients underwent less radical hysterectomy only. Prospective investigation of these 141 cases of endometrial carcinoma was undertaken.


RESULTS
Of the 105 cases, lymph node metastasis (18.10%) occurred in 19 cases. Metastasis were found in all stages except stage Ia. The incidences of lymph node metastasis in stage Ib and stage Ic were 8.82% and 21.05% respectively. Of the 141 cases of extended or less extented hysteretomy, 2 were with parametrial connective tissue metastasis (stage II and stage III b), 2 with parametrial lymph node metastasis (stage I c and stage III b) and 2 with parametrial vascular involvement (stage I b and stage I c).


CONCLUSIONS
The extended or less extended hysterectomy and lymphadenectomy should be performed in all patients of endometrial carcinoma except those of stage I a.
Liu
X
X
Shandong Provincial Hospital, Jinan.
Zhao
J
J
Wan
X
X
D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery; D018196:Carcinoma, Adenosquamous / Q000556:secondary / Q000601:surgery; D016889:Endometrial Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D011446:Prospective Studies