Surgery for endometrial cancer: what type and by whom?
Endometrial cancer has far too long been regarded as a simple disease to treat. As such it has generally remained in the hands of the generalist obstetrician/gynaecologist. In order to optimize the choice of surgery, careful pre-operative evaluation is essential with respect to pathology of a biopsy, radiological assessment of extent of disease and evaluation of fitness for anaesthesia. The standard procedure is a total abdominal hysterectomy and bilateral salpingo-oophorectomy. However, consideration should be given to pelvic lymphadenectomy in high-risk cases. Surgery for high-risk endometrial cancer should be performed by gynaecological oncologists.
Kitchener
H C
HC
Academic Unit of Obstetrics and Gynaecology, St Mary's Hospital, Manchester, Whitworth Park, M13 0JH, UK.
D001706:Biopsy / Q000379:methods; D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000532:radiotherapy / Q000601:surgery*; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D015907:Hysteroscopy / Q000379:methods; D008197:Lymph Node Excision / Q000379:methods; D009367:Neoplasm Staging; D010052:Ovariectomy / Q000379:methods; D010388:Pelvis; D011300:Preoperative Care / Q000592:standards; D018714:Radiotherapy, Adjuvant; D013038:Specialization