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European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Original Research
Role of omentectomy and appendectomy in surgical staging of endometrioid endometrial cancer
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Dr. Zekai Tahir Burak Women’s Health Education and Research Hospital, Department of Gynecologic Oncology, Ankara (Turkey)
Eur. J. Gynaecol. Oncol. 2013, 34(4), 322–324;
Published: 10 August 2013
Abstract
Purpose: The purpose of this study was to determine whether it was necessary to add omentectomy and appendectomy to the surgical staging of endometrioid endometrial cancer. Materials and Methods: Records were reviewed from June 2005 to June 2009 for endometrioidendometrial cancer patients who underwent total abdominal hysterectomy, bilateral salpingo oophorectomy, pelvic and para-aortic lymphadenectomy, infracolic omentectomy and appendectomy. Results: In total, 186 patients were included in the analysis. Disease was limited to uterus in 93% of patients and 87% of patients had Stage I disease. There was only one omental metastasis and no appendix metastasis in all stages. Conclusion: Routine omentectomy and appendectomy are unnecessary in surgical staging of endometrioid endometrial cancer unless there is suspicion of gross metastases during intraoperative examination.
Keywords
Uterine cervical neoplasms
MRI
Morphology
Growth pattern
Intra uterine fluid.