[The role of lymphadenectomy [corrected] in combination with radiotherapy in the complex treatment of the early detected endometrial cancers].
OBJECTIVE
Our aim was to assess the role of the lymphadenectomy in combination with postoperative radiotherapy for the treatment of the endometrial cancers.


METHODS
We evaluated for 10 years period--460 patients after radical surgery-total abdominal hysterectomy with BSO, pelvic and paraaortal lymphadenectomy. In some of the patients we applied postoperative radiotherapy, and in some we omitted it.


RESULTS
In patients with applied radiotherapy the 3 years survival rate was 97% and when radiotherapy was omitted the survival rate was 89%. The benefit of the lymphadenectomy we saw in the group of high risky patients and in advanced cases.


CONCLUSIONS
When we had macroscopic or microscopic paraaortal metastases, the volume of the radiotherapy after pelvic and/or paraaortal lymphadenectomy must be used only for the cases with suspect or proved metastatic lymph nodes.
D001011:Aorta / Q000473:pathology / Q000601:surgery; D016889:Endometrial Neoplasms / Q000401:mortality / Q000532:radiotherapy* / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery; D008207:Lymphatic Metastasis / Q000473:pathology; D017063:Outcome Assessment, Health Care; D010388:Pelvis / Q000473:pathology / Q000601:surgery; D015996:Survival Rate