Preoperative assessment in endometrial cancer. Is ...

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TRO criteria, low-risk endometrial cancer, pelvic lymph node dissection, pelvic MRI ... and resection of any enlarged para-aortic nodes for high-risk patients, ...
JBUON 2017; 22(1): 34-43 ISSN: 1107-0625, online ISSN: 2241-6293 • www.jbuon.com E-mail: [email protected]

ORIGINAL ARTICLE

Preoperative assessment in endometrial cancer. Is triage for lymphadenectomy possible? Panagiotis Tsikouras1, Zacharoula Koukouli1, Anastasia Bothou2,3, Bachar Manav1, George Iatrakis2,3, Stefanos Zervoudis2,3, George Galazios1, Alexander Tobias Teichmann4 1 Department of Obstetrics and Gynaecology, Democritus University of Thrace, Alexandroupolis, Greece; 2TEI Technical University of Athens, Greece; 3Rea Hospital, Athens, Greece; 4Department of Obstetrics and Gynaecology, Clinicum Aschaffenburg, Teaching Hospital of University of Würzburg, Germany

Summary Purpose: We sought to examine whether a preoperative assessment with usual means, available in most hospitals (preoperative histology, pelvic MRI, serum CA-125) can confidently exclude from a full staging surgical procedure low-risk endometrial carcinoma (EC) patients according to ESMO-ESTRO-ESGO criteria (stage I endometrioid EC, grade 1 or 2, myometrial invasion