Topics:
Radiation Oncology • Gynecologic Cancers
Should presacral lymph nodes be included in a locally advanced endometrial cancer without cervical involvement with incomplete surgical staging (i.e. no lymph node dissection)?
Would your recommendations change based on stage? What factors would influence your decision to include presacral lymph nodes in a locally advanced endometrial patient without cervical involvement?
Answer from: Radiation Oncologist at Community Practice
The pattern of spread for lymphatics draining the uterus tend to follow a predictable pattern generally along one of two primary pathways. Lymph flows from the fundus toward the adnexa and infundibulopelvic ligaments, placing the lower para-aortic lymph node stations as a potential site for sp...
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