Treatment of Clinical Early Endometrial Carcinoma; Indications for Lymphonodectomy
A multitude of treatment regimes for endometrial carcinoma has been reported in the last decades. Surgery, consisting of a total hysterectomy and bilateral salpingo-oophorectomy is generally accepted as the cornerstone in the management of early endometrial carcinoma. When radiotherapy proved to be also effective in the management of endometrial cancer, the combined therapy, using both irradiation and surgery, became the most commonly performed treatment for endometrial cancer. However, the type and timing of additional radiotherapy, especially in the early stages of endometrial cancer, still remains controversial. This is clearly illustrated in the 1988 Annual Report on the results of treatment in gynecologic cancer (Table 1).
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