Necessity of lymphadenectomy for endometrial cancer patients

Lymph node metastasis is the main prognostic factor of endometrial cancer patients. As the metastasis of early endometrial cancer patients is very low, it remains a controversy whether these patients are necessary to undergo conventional lymphadenectomy and a challenge to confirm the scope of lymph node dissection. We intend to demonstrate the application of lymphadenectomy in patients with early endometrial cancer via the impact of lymphadenectomy on the prognosis of these patients. The risk factors for lymph node metastasis of endometrial cancers were analyzed to explore its value in the surgical option. Furthermore, the guidance of sentinel lymph node in surgical staging and prognostic prediction of early endometrial cancer was explored to clarify the applied condition and scope of lymphadenectomy in these patients. Key words: Endometrial neoplasms/SU; Lymphatic metastasis; Lymph node excision