title: The opinion of gynecologists on the management of early-stage, high-grade endometrioid endometrial cancer.
abstract: OBJECTIVE
  There is no consensus on the management of Stage I endometrioid endometrial cancer (EEC) with grade 3 histology. This study evaluates the opinion of gynecologists in The Netherlands on the management of Stage I, grade 3 EEC.
  
  
  METHODS
  Members of the Dutch Gynecologic Oncology Working Group were requested to complete a digital questionnaire on the management of Stage I, grade 3 EEC. Actual treatment of patients with Stage I, grade 3 EEC was assessed by analysis of PALGA, the Dutch Pathology Registry.
  
  
  RESULTS
  Most gynecologists prefer routine lymphadenectomy or complete staging (62.3%), while these were actually performed in 27.3% of the cases. Gynecologic oncologists are more likely to perform a lymphadenectomy than general gynecologists. There was a wide variation of clinical practice.
  
  
  CONCLUSIONS
  The results of this study underline the need for additional research into management of Stage I, grade 3 EEC as well as the need for conclusive guidelines.
authors.forename: Y P
authors.initials: YP
authors.lastname: Geels
authors.forename: L J M
authors.initials: LJ
authors.lastname: van der Putten
authors.forename: E M
authors.initials: EM
authors.lastname: van der Steen-Banasik
authors.forename: M P M L
authors.initials: MP
authors.lastname: Snijders
authors.forename: L F A G
authors.initials: LF
authors.lastname: Massuger
authors.forename: J M A
authors.initials: JM
authors.lastname: Pijnenborg
mesh_terms: D018269:Carcinoma, Endometrioid / Q000473:pathology / Q000628:therapy*; D016889:Endometrial Neoplasms / Q000473:pathology / Q000628:therapy*; D005260:Female; D006176:Gynecology / Q000379:methods; D006801:Humans; D008197:Lymph Node Excision; D060787:Neoplasm Grading; D009367:Neoplasm Staging