Rehab M. Abdelrahman and Ahmed Y. Abdulkader
Treatment for most endometrial cancer patients tends to be surgical. The treatment of choice for complete hysterectomy and bilateral salpingooophorectomy with or without lymphadenectomy has been an open abdominal approach. The application of pelvic lymphadenectomy in patients with early endometrial cancer is useful because it has a diagnostic role and a therapeutic role, prevents metastasis. It could be concluded that: endometrial cancer surgery can be conducted using an open procedure with high effectiveness in terms of nodal excision and complication rate and increased operational and postoperative enforcement.
Staging endometrial carcinoma to include pelvic lymphadenectomy in the recognition that lymph node status is one of the patients' most important prognostic factors. This led to widespread variations. Pelvic lymphadenectomy allows for accurate prognosis based on a pathological examination of the lymph node. It is an important marker of tumor aggressiveness Lymphadenectomy distinguishes patients with advanced disease and helps tailor adjuvant therapy for those with adverse risk factors. Thus, it can be concluded that: 1-Pelvic lymphadenectomy has a diagnostic role in the management of adjuvant therapy. Pelvic lymphadenectomy may have a therapeutic benefit, but more studies are needed to confirm this role.
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