Pelvic and paraaortic lymph node metastasis in clinical stage I endometrial adenocarcinoma: an analysis of 58 consecutive cases.
OBJECTIVE
The aim of this study was to evaluate the importance of complete surgical-pathologic staging in clinical Stage I endometrial adenocarcinomas.


METHODS
58 consecutive women with clinical Stage I endometrial adenocarcinomas were investigated.


RESULTS
Isolated paraaortic lymph node invasion was found in one patient without pelvic node invasion (5%).


CONCLUSIONS
We recommend a complete lymphadenectomy instead of selective lymphadenectomy. With this practice the real stages of the cases can be determined and over treatment can be avoided.
Department of Obstetrics and Gynaecology, Suleyman Demirel University School of Medicine, Isparta, Turkey.
M
M
Ozsoy
S
S
Dilek
D
D
Ozsoy
D000230:Adenocarcinoma / Q000556:secondary*; D000328:Adult; D000368:Aged; D001011:Aorta; D016889:Endometrial Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D008875:Middle Aged; D010388:Pelvis