Surgical management of endometrial cancer in Slovak Republic.
OBJECTIVE
To evaluate the routine surgical treatment of endometrial cancer in Slovak Republic in relation to current international recommendations.


METHODS
A retrospective study based on a questionnaire was undertaken. Data on surgical and post-operative adjuvant therapy of endometrial cancer patients in Slovakia in 2001 were collected, assessed and validated for good clinical practice.


RESULTS
We presented data of 298 cases of endometrial adenocarcinoma from 48 of 66 Slovak gynecologic departments. Laparotomy with hysterectomy and bilateral salpingo-oophorectomy was performed in 280/298 patients. Peritoneal washings were examined in 41/298 cases. Lymphadenectomy (pelvic and/or para-aortic) was performed in 52/298 of the women. Malignancy remained undiagnosed in 29/298 of the cases until it was detected by histological investigation of extirpated uterus.


CONCLUSIONS
The study demonstrates that surgical management of endometrial cancer is far from optimal. It seems necessary to restrict treatment to the centres with gynecologic oncologists trained in pelvic surgery.
Uharcek
P
P
Department of Obstetrics and Gynecology, Faculty Hospital, Spitálska 6, 94901 Nitra, Slovak Republic. uharcek@hotmail.com
Mlyncek
M
M
Ravinger
J
J
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D016889:Endometrial Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods* / Q000592:standards; D010535:Laparoscopy; D007813:Laparotomy; D010052:Ovariectomy / Q000379:methods* / Q000592:standards; D012189:Retrospective Studies; D018154:Slovakia; D011795:Surveys and Questionnaires; D016896:Treatment Outcome