title: Incidence of nodal metastasis and isolated aortic metastases in patients with surgically staged endometrioid endometrial cancer.
abstract: To describe the incidence of lymph node metastasis in patients with surgically staged endometrioid-type endometrial cancer in Donostia University Hospital and evaluate the presence of isolated aortic metastasis.
  
  
  
  Using a prospectively maintained database, we recorded all cases of endometrioid endometrial cancer that underwent lymph node dissection and determined the rate and location (pelvic or para-aortic) of lymph node metastasis.
  
  
  
  A total of 212 patients with endometrioid type endometrial cancer were surgically treated at our institution from May 2008 to June 2013. Ninety underwent pelvic and para-aortic lymphadenectomy. Thirteen had positive nodes upon pathological examination. Six (6.6%) of 90 patients had positive para-aortic nodes with negative pelvic nodes.
  
  
  
  In our series, the incidence of isolated aortic nodal metastasis is high compared with other published reports. Performing aortic lymphadenectomy only in case of positive pelvic nodes would have underdiagnosed 6 (46%) of 13 stage IIIC cancers.
authors.affiliation: Donostia University Hospital, Donostia, Spain.
authors.forename: Rubén Ruiz
authors.initials: RR
authors.lastname: Sautua
authors.forename: Kostantze
authors.initials: K
authors.lastname: Goiri
authors.forename: Marisa Avila
authors.initials: MA
authors.lastname: Calle
authors.forename: Ibon Jaunarena
authors.initials: IJ
authors.lastname: Marin
authors.forename: Arantza Lekuona
authors.initials: AL
authors.lastname: Artola
mesh_terms: D000368:Aged; D001011:Aorta / Q000473:pathology*; D018269:Carcinoma, Endometrioid / Q000453:epidemiology* / Q000556:secondary / Q000601:surgery; D016889:Endometrial Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008875:Middle Aged; D060787:Neoplasm Grading; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology* / Q000556:secondary / Q000601:surgery; D009367:Neoplasm Staging; D010386:Pelvic Neoplasms / Q000453:epidemiology* / Q000556:secondary / Q000601:surgery; D011379:Prognosis; D011446:Prospective Studies; D013030:Spain / Q000453:epidemiology