Pelvic-paraaortic lymphadenectomy in clinical Stage I endometrial adenocarcinoma: a multicenter study.
OBJECTIVE
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.


CONCLUSIONS
We recommend complete lymphadenectom; the real stages of the cases can be determined more correctly and excessive treatments can be avoided.
Yenen
M C
MC
GATA School of Medicine, Dept. of Obstetrics & Gynecology, Ankara, Turkey.
Dilek
S
S
Dede
M
M
Goktolga
U
U
Deveci
M S
MS
Aydogu
T
T
D000230:Adenocarcinoma / Q000401:mortality / Q000473:pathology* / Q000556:secondary* / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001012:Aorta, Abdominal; D001707:Biopsy, Needle; D015331:Cohort Studies; D016889:Endometrial Neoplasms / Q000401:mortality / Q000473:pathology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007150:Immunohistochemistry; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology* / Q000601:surgery*; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology*; D009367:Neoplasm Staging; D010388:Pelvis; D018570:Risk Assessment; D015996:Survival Rate; D016896:Treatment Outcome; D014421:Turkey