Recent updates of management of endometrial carcinoma.

ABSTRACT

Endometrial carcinoma is a low grade curable malignancy and most patients present with early disease with excellent survival. Of all female pelvic malignancies, it seems to have more advocates for different treatment plans than any other. Total extrafascial hysterectomy and bilateral salphingo-oophorectomy is the primary operative procedure. Pelvic lymhadenectomy is performed in most centres on therapeutic and prognostic grounds and to individualize adjuvant treatment. Postoperative irradiation are used to reduce pelvic and vaginal recurrences in high risk cases. Treatment planning are conservative in order to reduce patients morbidity and overtreatment while maintaining acceptable recurrence and survival rates.