Focused on the patient - Baylor Health Care System
Focused on the patient - Baylor Health Care System
Focused on the patient - Baylor Health Care System
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<str<strong>on</strong>g>Focused</str<strong>on</strong>g> <strong>on</strong> quality 25Patient <strong>Care</strong> Evaluati<strong>on</strong> Study:Surgical Staging for Low-Risk Endometrial Cancerby Kamilia Smith, MD, and E. Colin Ko<strong>on</strong>, MD, PhDEndometrial cancer is <strong>the</strong> most comm<strong>on</strong> gynecologic malignancy in <strong>the</strong> United States. Anestimated 39,000 cases of uterine cancer were diagnosed in 2007. In 75% of cases, <strong>the</strong>disease is c<strong>on</strong>fined to <strong>the</strong> uterus. 1Dr. Kamilia SmithHistorically, endometrial cancer was staged clinically. In 1988, <strong>the</strong> Internati<strong>on</strong>al Federati<strong>on</strong>of Gynecologists and Obstetricians recommended a change from clinical to surgical staging,including lymph node sampling. Today, surgical staging remains <strong>the</strong> cornerst<strong>on</strong>e of treatment;however, <strong>the</strong> extent of <strong>the</strong> lymphadenectomy has not been clearly defined. In surgicalstaging series, <strong>the</strong> risk of pelvic nodal metastases in what would o<strong>the</strong>rwise be surgical stageI disease is