How would you approach the management of a women who was incidentally found to have a deeply invasive low-grade endometrial carcinoma after she underwent a supracervical hysterectomy with placement of mesh for uterine prolapse?

How do you manage patients referred to you for endometrial cancer diagnosed incidentally during hysterectomy for other indications?

• Return to OR for lymphadenectomy regardless of histologic features
• Return to OR for lymphadenectomy based on Mayo criteria
• Observation
• Lower threshold for adjuvant therapy (e.g., radiation and/or chemotherapy)
• Other