The typical surgery is bilateral salpingo-oophorectomy, the removal of the ovaries and fallopian tubes, as well as a complete, radical hysterectomy.
February 19, 2005 (Press Release) --
Surgery of Endometrial Cancer
The typical surgery is bilateral salpingo-oophorectomy, the removal of the ovaries and fallopian tubes, as well as a complete, radical hysterectomy. A radical hysterectomy involves removing the uterus, the tissues surrounding the uterus, and the upper third of the vagina. A hysterectomy can be either abdominal or vaginal. In an abdominal hysterectomy, the surgeon makes an incision in the front of the abdomen and removes the uterus. In a vaginal hysterectomy, the uterus is removed through the vagina. Because endometrial cancer originates in the uterine body, a hysterectomy should be sufficient, but the ovaries are removed as well because they are the most common sites of undetected metastasis. Also, most women who undergo the surgery are postmenopausal, and their ovaries are no longer providing the hormonal function that is so important before menopause. During an abdominal hysterectomy, the lymph nodes are also almost always sampled (a pelvic lymph node dissection) to detect any spread of cancer to the lymph nodes.
Until recently, if a vaginal hysterectomy was used to remove the uterus, there was no way to get a sample of lymph node tissue. Now, however, there is a new surgical technique called laparascopic lymph node sampling that many surgeons are beginning to use that allows for sampling the lymph nodes even when the abdomen is not cut open for an abdominal hysterectomy. Thus women can opt for a vaginal hysterectomy and still have their lymph nodes examined. The new method involves inserting a tube through a very small opening in the abdomen. The vaginal hysterectomy combined with the laparascopy are much less invasive and require less recovery time than an abdominal hysterectomy.
Although the primary treatment for any stage endometrial cancer involves a radical hysterectomy, according to the National Cancer Institute, early stage I cancers may not require a radical hysterectomy. A simple hysterectomy,which involves removal of the uterus but not the surrounding tissues or upper third of the vagina, may be sufficient. It is important that you discuss with your surgeon the different options and why she or he thinks one procedure is more appropriate than another.
{ http://www.oncologychannel.com }
The typical surgery is bilateral salpingo-oophorectomy, the removal of the ovaries and fallopian tubes, as well as a complete, radical hysterectomy. A radical hysterectomy involves removing the uterus, the tissues surrounding the uterus, and the upper third of the vagina. A hysterectomy can be either abdominal or vaginal. In an abdominal hysterectomy, the surgeon makes an incision in the front of the abdomen and removes the uterus. In a vaginal hysterectomy, the uterus is removed through the vagina. Because endometrial cancer originates in the uterine body, a hysterectomy should be sufficient, but the ovaries are removed as well because they are the most common sites of undetected metastasis. Also, most women who undergo the surgery are postmenopausal, and their ovaries are no longer providing the hormonal function that is so important before menopause. During an abdominal hysterectomy, the lymph nodes are also almost always sampled (a pelvic lymph node dissection) to detect any spread of cancer to the lymph nodes.
Until recently, if a vaginal hysterectomy was used to remove the uterus, there was no way to get a sample of lymph node tissue. Now, however, there is a new surgical technique called laparascopic lymph node sampling that many surgeons are beginning to use that allows for sampling the lymph nodes even when the abdomen is not cut open for an abdominal hysterectomy. Thus women can opt for a vaginal hysterectomy and still have their lymph nodes examined. The new method involves inserting a tube through a very small opening in the abdomen. The vaginal hysterectomy combined with the laparascopy are much less invasive and require less recovery time than an abdominal hysterectomy.
Although the primary treatment for any stage endometrial cancer involves a radical hysterectomy, according to the National Cancer Institute, early stage I cancers may not require a radical hysterectomy. A simple hysterectomy,which involves removal of the uterus but not the surrounding tissues or upper third of the vagina, may be sufficient. It is important that you discuss with your surgeon the different options and why she or he thinks one procedure is more appropriate than another.
{ http://www.oncologychannel.com }
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