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Comparative Study
. 1995;16(5):357-62.

Surgical vs. clinical staging of endometrial carcinoma. The impact on treatment modification, morbidity and survival

A Hourvitz  1 , J Menczer, A Chetrit, B Modan
Affiliations
  • PMID: 8549600
Comparative Study

Surgical vs. clinical staging of endometrial carcinoma. The impact on treatment modification, morbidity and survival

A Hourvitz et al. Eur J Gynaecol Oncol. 1995.

Abstract

Objective: To assess the impact of surgical staging on treatment modification and outcome in endometrial carcinoma (EC) patients.

Methods: Two groups of histologically confirmed clinical Stage I and II EC patients, diagnosed during two time periods (1976-1984 and 1985-1991), were retrospectively compared. Sixty-five patients diagnosed during the first period were staged only clinically and treated according to a protocol based on this staging system. Fifty-six patients diagnosed during the second period were staged surgically and treatment was modified according to surgical pathological findings.

Results: The findings based on the surgical staging spared radiotherapy in some patients and prompted additional treatment in others. The morbidity and survival were similar in the two groups.

Conclusions: Surgical pathological findings in EC patients may modify management and contribute to prognostic significance. No effect on postoperative morbidity or on actuarial survival was demonstrated.

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