Surgical vs. clinical staging of endometrial carcinoma. The impact on treatment modification, morbidity and survival.

Abstract:

OBJECTIVE:To assess the impact of surgical staging on treatment modification and outcome in endometrial carcinoma (EC) patients. METHODS:Two groups of histologically confirmed clinical Stage I and II EC patients, diagnosed during two time periods (1976-1984 and 1985-1991), were retrospectively compared. Sixty-five patients diagnosed during the first period were staged only clinically and treated according to a protocol based on this staging system. Fifty-six patients diagnosed during the second period were staged surgically and treatment was modified according to surgical pathological findings. RESULTS:The findings based on the surgical staging spared radiotherapy in some patients and prompted additional treatment in others. The morbidity and survival were similar in the two groups. CONCLUSIONS:Surgical pathological findings in EC patients may modify management and contribute to prognostic significance. No effect on postoperative morbidity or on actuarial survival was demonstrated.

journal_name

Eur J Gynaecol Oncol

authors

Hourvitz A,Menczer J,Chetrit A,Modan B

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

357-62

issue

5

eissn

0392-2936

issn

2709-0086

journal_volume

16

pub_type

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