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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.
Which is the appropriate surgical procedure for Stage I endometrial carcinoma?
L. Sun1, X. G. Sheng1,*, L. Wei1, F. Gao1, X. Li1, N. F. Liu1, D. P. Li1, X. Zhang1, T. T. Zhang1, P. Wei1
1 Department of Gynecologic Oncology, ShanDong Cancer Hospital & Cancer Institute, Shandong University, Jinan (China)
Eur. J. Gynaecol. Oncol. 2015, 36(6), 637–642; https://doi.org/10.12892/ejgo2716.2015
Published: 10 December 2015
Objective: To study the appropriate surgical procedure for Stage I endometrial carcinoma (EC), the clinical and pathological features and prognosis factors, as well as types were analyzed retrospectively. Materials and Methods: This is a retrospective study of 277 patients with early-stage EC in clinical Stages I that received surgery between January 2000 and March 2008. The appropriate surgical procedures were divided into three types (procedure I-III: hysterectomy with or without ovary preservation, subradical hysterectomy plus pelvic lymph node biopsy, and radical hysterectomy pelvic plus lymphadenectomy) according to the clinical stage. Results: Tumor invasion of the cervix and deep muscularis as well as the parametrium, EC Stage Ib, grade 3 and ascites had carcinoma cells, were high-risk factors of EC metastasis to the retroperitoneum (p < 0.05). The ovarian preservation of EC Stage Ia had no effect on overall survival. The three types of procedure for the EC Stage Ia were not correlated significantly to the three-year and five-year survival rates. The three-year and five-year survival rates of three surgical procedures for the EC Stage Ib were significantly correlated. The survival rates of surgical procedures II and III were significantly higher than that of procedure I (P < 0.05). Conclusion: Subradical hysterectomy plus pelvic lymph node biopsy was recommended for EC Stage Ib with high-risk factors. There was no evidence of benefit in terms of overall or recurrence-free survival for radical hysterectomy plus pelvic lymphadenectomy in women with Stage I EC.