title: [Early-stage endometrial cancer: Sentinel node or lymphadenectomy?].
abstract: The endometrial cancers are mainly discovered at an early stage justifying a less aggressive treatment. The therapeutic choices are today based on preoperative classifications themselves based on histo-prognostic factors of the tumor and its extension measured in MRI: consequently, lymph node dissection in case of low and intermediate risk cancer is not systematically achieved. But a number of patients have lymph node involvement finally, probably justifying an adapted surgical and adjuvant treatment. The technique of sentinel node would compensate the weaknesses of preoperative prognostic evaluation. This new operative technique needs to be precised and evaluated: the topics subject to discussion are the technical implementation, the definition of its quality standards and the management of its histological results especially in cases of low volume lymph node metastasis.
authors.affiliation: Département de gynécologie obstétrique et reproduction humaine, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90 203, 35203 Rennes cedex 2, Breizh, France.
authors.forename: N
authors.initials: N
authors.lastname: Body
authors.affiliation: Département de gynécologie obstétrique et reproduction humaine, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90 203, 35203 Rennes cedex 2, Breizh, France; Service de gynécologie obstétrique, centre hospitalier de Vannes, 56000 Vannes, France.
authors.forename: O
authors.initials: O
authors.lastname: de Kerdaniel
authors.affiliation: Département de gynécologie obstétrique et reproduction humaine, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90 203, 35203 Rennes cedex 2, Breizh, France.
authors.forename: V
authors.initials: V
authors.lastname: Lavoué
authors.affiliation: Service de gynécologie obstétrique, centre hospitalier de Vannes, 56000 Vannes, France.
authors.forename: M
authors.initials: M
authors.lastname: Leblanc
authors.affiliation: Service d'anatomie et cytologie pathologiques, CHU Pontchaillou, 35000 Rennes, France.
authors.forename: S
authors.initials: S
authors.lastname: Henno
authors.affiliation: Département de gynécologie obstétrique et reproduction humaine, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90 203, 35203 Rennes cedex 2, Breizh, France. Electronic address: jean.leveque@chu-rennes.fr.
authors.forename: J
authors.initials: J
authors.lastname: Levêque
mesh_terms: D016889:Endometrial Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis / Q000517:prevention & control; D011379:Prognosis; D012307:Risk Factors; D021701:Sentinel Lymph Node Biopsy
keywords: Cancer de l’endomètre; Endometrial cancer; Ganglion sentinelle; Lymphadenectomy; Lymphadénectomie; Sentinel node