High risk stage I and stage II endometrial cancer treated with pelvic lymphadenectomy to determine need for pelvic radiation

Photopulos, Guy J.; Poston, W.; Simmons, Justin M.; Sandles, LG; Bielksis, W.; Smiley, LM

doi:10.1016/0090-8258(92)90607-k

Cited by 2 publications

(1 citation statement)

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“…Two women received extended field radiation, one because she had pelvic and aortic lymph node metastases, and the other because she had multiple pelvic lymph node metastases and chose extended field radiation rather than a secondary laparoscopic aortic lymphadenectomy to determine the need for extended field therapy 8 …”

Section: Methodsmentioning

confidence: 99%

Endometrial cancer and fibroids: should they be managed laparoscopically?

Kadar¹

1999

Gynaecol Endoscopy

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Objective To describe techniques of morcellation without entry into the uterine cavity and discuss their use in the management of selected patients with endometrial cancer and fibroids. Method Case series. Results Eight patients with endometrial cancer arising in a fibroid uterus underwent laparoscopic hysterectomy, and in three cases morcellation was required. The mean uterine weight was 608 g (median 500 g). Four women had pelvic and one had pelvic plus aortic lymphadenectomy in addition to the hysterectomy. One woman had pelvic and another pelvic plus aortic lymph node metastases. The mean age, weight, and body mass index of the patients were 54.8 years, 214 lbs and 36.5, respectively. One nullliparous patient weighed 329 lbs, and another weighed 289 lbs. The mean anaesthetic time was 3.75 h, the mean estimated blood loss 770 ml, and the mean drop in haemoglobin 3.2 g/dl. The mean hospital stay was 2 days, and there were no complications although one patient was transfused. Conclusions Endometrial cancers arising in a fibroid uterus can be treated laparoscopically in selected cases.

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Section: Methodsmentioning

confidence: 99%