Abstract

Objective: Staging for endometrial cancer is surgical and includes hysterectomy, bilateral salpingo-oophorectomy, peritoneal washings, and lymphadenectomy. Surgical management relies on intraoperative assessment made by frozen sections for risk of lymphatic spread of disease to determine whether staging with complete lymph node dissection is necessary. The Mayo criteria dictates that with grade 1 or 2 histology, <50% myometrial invasion (MI), and tumor size <2 cm, there is low risk of lymphovascular space invasion (LVSI).

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