SURGERY FOR UTERUS/ENDOMETRIUM

EARLY STAGE ENDOMETRIAL CANCER DEFINITION

A.      LOW RISK

 

B.      HIGH RISK

 

TAH + BSO/Radical Hysterectomy if required

 

 

Low risk

 

PLUS formal pelvic node dissection

Washings

 

 

Consider upper abdominal staging (clear cell and papillary serous)

 

 

?node sampling

 

 

Consider radical hysterectomy (cervix)

 

 

 LATE STAGE ENDOMETRIAL CANCER

DEFINITION:

Tumour (probably) not confined to pelvic area / uterus and adnexae

AIM:

Tumour debulking as for ovarian cancer

Maximum information for logical adjuvant treatment

 

PELVIC CLEARANCE:

~always possible

Includes removal of pelvic nodes – normal and involved

UPPER ABDOMINAL STAGING / DEBULKING:

Omentum

Visible disease

Para-aortic nodes

 Surgery Not  indicated for:

Advanced Parametrial (paracervical) disease

Metastatic disease (outside abdomen )

In her long years of practice, she felt the need for providing basic information regarding the dreaded disease of cancer, spreading the hope that detecting cancer early may be curable to some extent and also that it is less common & less deadly than day to day illness. This she feels can help in prevention, early detection and management of the illness. This inspired her to reach out to people through this site.

CancerWomen