In patients diagnosed with endometrial cancer who do not undergo SLNB or LND at the time of hysterectomy, what criteria is used to recommend completion surgery for LN assessment?
Answer from: Radiation Oncologist at Community Practice
The value of nodal dissection was negative for survival in two trials and PORTEC 1 and 2 (no nodal staging), and GOG 99 (nodal staging) didn’t show any difference in nodal recurrence for most endometroid stage I cancer. Unless management would change, we usually limit redo surgical staging to ...
Agree with @Sushil Beriwal. I would first look to see if there was any preoperative imaging with enlarged nodes. In that scenario, it might be worth knowing if they were positive or not, so I would consider taking a patient back to the OR for staging lymphadenectomy. If there is no preoperative imag...
Comments
at Hanjani Institute No need for reexploration as if there is nothing t...
at Medical University of South Carolina Obviously, the extent and character of the uterine...