Would you consider staging lymph node dissection for a patient referred for stage IA endometrial cancer and MELF pattern on final pathology?

Thank you for this interesting question. The implications of Microcystic, elongated, fragmented (MELF) pattern of myometrial invasion on clinical outcomes in patients with endometrial cancer remains unclear, with data abstracted from single or multi institutionalization retrospective studies. It doe...

With no other risk factors like LVSI, grade 2 or 3, or outer half myometrial invasion, I recommend surveillance.