[The prospective study on the scope of extended operation for endometrial carcinoma].

OBJECTIVE

To investigate the scope of extended operation for endometrial carcinoma.

METHODS

105 patients underwent extended or less extended hysterectomy plus pelvic and/or para-aortic lymphadenectomy and 36 patients underwent less radical hysterectomy only. Prospective investigation of these 141 cases of endometrial carcinoma was undertaken.

RESULTS

Of the 105 cases, lymph node metastasis (18.10%) occurred in 19 cases. Metastasis were found in all stages except stage Ia. The incidences of lymph node metastasis in stage Ib and stage Ic were 8.82% and 21.05% respectively. Of the 141 cases of extended or less extented hysteretomy, 2 were with parametrial connective tissue metastasis (stage II and stage III b), 2 with parametrial lymph node metastasis (stage I c and stage III b) and 2 with parametrial vascular involvement (stage I b and stage I c).

CONCLUSIONS

The extended or less extended hysterectomy and lymphadenectomy should be performed in all patients of endometrial carcinoma except those of stage I a.