Abstract
Surgery is the optimal treatment for early-stage endometrial adenocarcinoma, with lesions confined to the uterus (stages I/II). Although laparotomy is still frequently employed, the use of laparoscopy to treat these tumors is increasing. The results obtained by laparoscopic surgery in the treatment of endometrial adenocarcinoma are excellent, similar to those of laparotomy, with multiple benefits and similar costs. Therefore, laparoscopy is becoming the preferred option for many gynecological oncologists. We report a case of endometrial carcinoma, pT: Ib/G1 treated by laparoscopy consisting of laparoscopic assisted vaginal hysterectomy + double annexectomy + cytology + pelvic lymphadenectomy, which progressed to vaginal introitus metastasis at 7 months of treatment and inguinal metastasis at 14 months.
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