How would you counsel a patient with incidental diagnosis of at least high intermediate risk endometrial cancer, found on robotic hysterectomy with non-contained uterine morcellation and no node sampling?

MELF pattern of invasion has a higher rate of LN involvement, reported as 18% in one series (Joehlin-Price et al., PMID 27740968) and as high as 54% in an older series (Pavlakis et al., PMID 21438907).

In the setting of an unstaged patient, a discussion of lymphadenectomy vs whole pelvis RT would be ...