title: [How were used recommendations for endometrial carcinoma? Britain retrospective study].
abstract: OBJECTIVE
  To assess the use of French Cancer Institute recommendations for the diagnosis and treatment of endometrial cancer.
  
  
  METHODS
  Retrospective observational study involving 137 patients with endometrial cancer between 2011 and 2013.
  
  
  RESULTS
  Both MRI and pathological assessment with correct report as recommended were used for 66.4% of patients with endometrial cancer. For patients with correct preoperative assessment, 44.9% of patients were uncorrectly classified and upgraded on final pathological analysis of hysterectomy concerning lymph node involvement risk. These patients did not have confident surgical assessment, according this risk.
  
  
  CONCLUSIONS
  To improve relevance of preoperative assessment in endometrial cancer, radiological and pathological expertise is required. However, even performed optimally, preoperative assessment does not allow correct risk stratification of lymph node involvement in endometrial cancer. This ineffective stratification leads to propose sentinel lymph node biopsy with hysterectomy in case of preoperative low risk endometrial cancer assessment.
authors.affiliation: Service de gynécologie, hôpital Sud, CHU de Rennes, 35000 Rennes, France.
authors.forename: O
authors.initials: O
authors.lastname: De Kerdaniel
authors.affiliation: Service de gynécologie, hôpital Sud, CHU de Rennes, 35000 Rennes, France.
authors.forename: N
authors.initials: N
authors.lastname: Body
authors.affiliation: Service de gynécologie, hôpital Sud, CHU de Rennes, 35000 Rennes, France.
authors.forename: E
authors.initials: E
authors.lastname: Davoine
authors.affiliation: Service de gynécologie, hôpital Sud, CHU de Rennes, 35000 Rennes, France; Oncogenesis, Stress and Signaling, ER 4440, CRCL CRLCC Eugène-Marquis, 35000 Rennes, France.
authors.forename: F
authors.initials: F
authors.lastname: Foucher
authors.affiliation: Service d'anatomopathologie, CHU Pontchaillou, CHU de Rennes, 35000 Rennes, France.
authors.forename: S
authors.initials: S
authors.lastname: Henno
authors.affiliation: Service de pharmacologie clinique, CIC Inserm 0203, hôpital Pontchaillou, CHU de Rennes, 35000 Rennes, France.
authors.forename: A
authors.initials: A
authors.lastname: Tavenard
authors.affiliation: Service de pharmacologie clinique, CIC Inserm 0203, hôpital Pontchaillou, CHU de Rennes, 35000 Rennes, France.
authors.forename: B
authors.initials: B
authors.lastname: Laviolle
authors.affiliation: Service de radiologie, hôpital Sud, CHU de Rennes, 35000 Rennes, France.
authors.forename: C
authors.initials: C
authors.lastname: Rozel
authors.affiliation: Service de gynécologie, centre hospitalier Bretagne-Atlantique, 56000 Vannes, France.
authors.forename: M
authors.initials: M
authors.lastname: Leblanc
authors.affiliation: Service de gynécologie, hôpital Sud, CHU de Rennes, 35000 Rennes, France; Oncogenesis, Stress and Signaling, ER 4440, CRCL CRLCC Eugène-Marquis, 35000 Rennes, France; Faculté de médecine, université Rennes 1, 35000 Rennes, France. Electronic address: Vincent.lavoue@chu-rennes.fr.
authors.forename: V
authors.initials: V
authors.lastname: Lavoué
authors.affiliation: Service de gynécologie, hôpital Sud, CHU de Rennes, 35000 Rennes, France; Oncogenesis, Stress and Signaling, ER 4440, CRCL CRLCC Eugène-Marquis, 35000 Rennes, France; Faculté de médecine, université Rennes 1, 35000 Rennes, France.
authors.forename: J
authors.initials: J
authors.lastname: Levêque
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016889:Endometrial Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D017408:Guidelines as Topic / Q000592:standards*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D012189:Retrospective Studies; D018570:Risk Assessment; D006113:United Kingdom
keywords: Anatomopathologie; Cancer de l’endomètre; Endometrial cancer; IRM; MRI; Pathological analysis; Risk classification; Stratification du risque