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.