[Lymph node dissection in endometrial cancer].
Total abdominal hysterectomy(TAH) and bilateral salpingo-oophorectomy (BSO) have been the hallmarks of therapy for endometrial cancer. However, in the last years the significance of surgical staging is increasing; pelvic lymph node dissection is an important part of surgical staging.


METHODS
We have studied a cohort of 76 patients with endometrial cancer who underwent surgery in the 4th Gynecology Clinic of "Cuza Vodă" Hospital, Iaşi, between 1997-2008. Our purpose was to determinate the risk factors for lymph node invasion and the value of pelvic lymphadenectomy regarding both prognosis and therapeutic significance.


RESULTS
From the 76 cases, 39 underwent selective pelvine lymphadenectomy (51.31%). 48.86% of cases are in the first stage of neoplasia. Invazia cervicală este mai des intâlnită in cazul tumorilor slab diferenţiate, voluminoase, cu invazie miometrială profunda. 9.21% of cases had endocervical glands invasion and 18.42% presented glandular and stromal invasion.


CONCLUSIONS
Lymphadenectomy is beneficial for prognosis and in some cases for therapy.
Mihalcea
D
D
Facultatea de Medicină Generală, Clinica a IV-a Ginecologie, Universitatea de Medicină si Farmacie "Gr.T. Popa" Iaşi.
Aursulesei
D
D
D000328:Adult; D000368:Aged; D015331:Cohort Studies; D016889:Endometrial Neoplasms / Q000473:pathology* / Q000601:surgery*; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D008197:Lymph Node Excision; D008875:Middle Aged; D009367:Neoplasm Staging; D010052:Ovariectomy / Q000379:methods; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome