Tsukamoto N
Dept. of Obstet. & Gynecol., Faculty of Med. Kyushu Univ.
Gan No Rinsho. 1990 Aug;36(10):1149-54.
The main treatment of endometrial cancer is surgery. Total abdominal hysterectomy (TAH) and bilateral salpingo-oophorectomy (BSO) is the principal surgery for stage I disease. Recently, pelvic lymph node dissection and para-aortic node biopsy is also being performed. For stage II, many surgeons in Japan prefer to do radical hysterectomy, however, its validity is questioned. For stages III and IV, surgery, radiation, chemotherapy and/or hormone therapy are combined, however, TAH and BSO should be performed at least. In 1988, FIGO changed the endometrial cancer staging system from clinical to surgical. According to this new staging, laparotomy should be done first and treatment plans made depending on the result of surgical finding.
子宫内膜癌的主要治疗方法是手术。全腹子宫切除术（TAH）和双侧输卵管卵巢切除术（BSO）是I期疾病的主要手术方式。近来，也会进行盆腔淋巴结清扫术和腹主动脉旁淋巴结活检。对于II期，日本的许多外科医生倾向于行根治性子宫切除术，但其有效性受到质疑。对于III期和IV期，手术、放疗、化疗和/或激素治疗联合应用，但至少应进行TAH和BSO。1988年，国际妇产科联盟（FIGO）将子宫内膜癌的分期系统从临床分期改为手术分期。根据这一新的分期，应首先进行剖腹探查术，并根据手术发现的结果制定治疗方案。
