The Obstetrician & Gynaecologist 2009;11:3:199-204
doi: 10.1576/toag.11.3.199.27505
Copyright © 2009 by the Royal College of Obstetricians and Gynaecologists.
The role of pelvic and para-aortic lymph node dissection in the surgical treatment of endometrial cancer: a view from the USA
Andrea Mariani, MD, Associate Professor of Obstetrics and Gynecology1,
Sean C Dowdy, MD, Associate Professor of Obstetrics and Gynecology2 and
Karl C Podratz, MD PhD, Professor of Obstetrics and Gynecology3
1. Division of Gynecologic Surgery, Mayo Clinic, Rochester, MN 55905, USA Email: Mariani.Andrea{at}mayo.edu (corresponding author)
2. Division of Gynecologic Surgery, Mayo Clinic, Minnesota, USA
3. Division of Gynecologic Surgery, Mayo Clinic, Minnesota, USA
Key content:
- Intraoperative tumour diameter measurement in endometrial cancer is useful for identifying women at extremely low risk of lymph node invasion.
- Surgical staging in endometrial cancer is instrumental for defining the need for and extent of postoperative therapy, thus avoiding over- and undertreatment.
- Adequate surgical staging in endometrial cancer includes bilateral pelvic and para-aortic lymphadenectomy extending to renal vessels.
Learning objectives:
- To define diagnostic and possible therapeutic roles of systematic surgical staging in endometrial cancer.
- To define anatomical borders of adequate surgical staging in endometrial cancer.
Ethical issues:
- How can over- and undertreatment of endometrial cancer be avoided?
Please cite this article as: Mariani A, Dowdy S, Podratz K. The role of pelvic and para-aortic lymph node dissection in the surgical treatment of endometrial cancer: a view from the USA. The Obstetrician & Gynaecologist 2009;11:199–204.
Keywords external beam radiotherapy / inferior mesenteric artery / surgical staging / vaginal brachytherapy
Copyright © 2009 by the Royal College of Obstetricians and Gynaecologists.