Initial experience with positron emission tomography/computed tomography in addition to computed tomography and magnetic resonance imaging in preoperative risk assessment of endometrial cancer patients

Primary surgery for apparent early-stage endometrial cancer includes hysterectomy, bilateral salpingo-oophorectomy, and assessment of regional lymph node involvement. Lymph nodes are the most common site of extrauterine spread [1,2]. Detecting lymph node metastases in endometrial cancer is important for treatment and prognosis [3 –6]. It is debated if paraaortic nodes should be removed, and whether comprehensive lymphadenectomy improves prognosis, at the cost of increased complications [3,4,7]. The sentinel lymph node (SLN) strategy has emerged as a compromise between comprehensive lymphadenectomy in high-risk patients and omittance of lymph node removal in low-risk patients, allowing sufficient lymph node assessment in patients of all risk categories [8].
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Full length article Source Type: research