title: Role of omentectomy and appendectomy in surgical staging of endometrioid endometrial cancer.
abstract: OBJECTIVE
  The purpose of this study was to determine whether it was necessary to add omentectomy and appendectomy to the surgical staging of endometrioid endometrial cancer.
  
  
  METHODS
  Records were reviewed from June 2005 to June 2009 for endometrioid endometrial cancer patients who underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy, pelvic and para-aortic lymphadenectomy, infracolic omentectomy and appendectomy.
  
  
  RESULTS
  In total, 186 patients were included in the analysis. Disease was limited to uterus in 93% of patients and 87% of patients had Stage I disease. There was only one omental metastasis and no appendix metastasis in all stages.
  
  
  CONCLUSIONS
  Routine omentectomy and appendectomy are unnecessary in surgical staging of endometrioid endometrial cancer unless there is suspicion of gross metastases during intraoperative examination.
authors.affiliation: Dr. Zekai Tahir Burak Women's Health Education and Research Hospital, Department of Gynecologic Oncology, Ankara, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Ozdal
authors.forename: B S
authors.initials: BS
authors.lastname: Unlu
authors.forename: H R
authors.initials: HR
authors.lastname: Yalcin
authors.forename: O L
authors.initials: OL
authors.lastname: Tapisiz
authors.forename: H
authors.initials: H
authors.lastname: Energin
authors.forename: M
authors.initials: M
authors.lastname: Besli
authors.forename: T
authors.initials: T
authors.lastname: Gungor
mesh_terms: D000328:Adult; D018269:Carcinoma, Endometrioid / Q000473:pathology / Q000601:surgery*; D016889:Endometrial Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008875:Middle Aged; D009367:Neoplasm Staging; D009852:Omentum / Q000601:surgery*