In patients diagnosed with endometrial cancer who do not undergo SLNB or LND at the time of hysterectomy, what criteria is used to recommend completion surgery for LN assessment?
1
2 AnswersMednet Member
Radiation Oncology · Varian Medical Systems/Allegheny health network
The value of nodal dissection was negative for survival in two trials and PORTEC 1 and 2 (no nodal staging), and GOG 99 (nodal staging) didn’t show any difference in nodal recurrence for most endometroid stage I cancer. Unless management would change, we usually limit redo surgical staging to advers...
Mednet Member
Gynecologic Oncology · Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
Agree with @Dr. First Last. I would first look to see if there was any preoperative imaging with enlarged nodes. In that scenario, it might be worth knowing if they were positive or not, so I would consider taking a patient back to the OR for staging lymphadenectomy. If there is no preoperative imag...