What are the surgical indications for endometrial cancer? Learn about these four categories

The surgical indications for endometrial cancer are related to the surgical method. If it is an extrafascial total hysterectomy, the surgical indication is that the disease is in stage I, which is an early stage. The indication for modified radical hysterectomy is II, which is also an early stage. The indication for bilateral hysterectomy is that the disease is in stage III or above. The indication for total hysterectomy is type II endometrial cancer.

Endometrial cancer is highly malignant, and its mortality rate is second only to cervical cancer. The disease mainly affects perimenopausal and postmenopausal women, but now many young women are also suffering from this disease. The main treatment for this disease is surgery, so what are the indications for surgery for endometrial cancer?
1. Indications for extrafascial hysterectomy <br/>Extrafascial hysterectomy is generally used in the early stage of the disease, and its indication is clinical stage I endometrial cancer. At this time, the cancer is limited to the uterine body and has not spread to the surrounding area or metastasized. At this time, there will be mild irregular bleeding in the vagina, and the vaginal discharge is usually a thin white liquid. Some patients will also feel mild discomfort in the lower abdomen.
2. Indications for modified radical hysterectomy <br/>Modified radical hysterectomy is also an early surgical method, and the indication is that the disease is in clinical stage II. At this time, the cancer has invaded the cervical stroma, and its symptoms are more obvious than those in clinical stage I, such as irregular vaginal bleeding and varying degrees of vaginal discharge, increased menstrual volume, and prolonged menstrual period.
3. Indications for hysterectomy <br/>The main indication for hysterectomy is that the disease is in clinical stage III or above, that is, the middle and late stages of the disease. At this time, not only the various clinical symptoms become more obvious, but also the cancer cells have spread to the surrounding organs and even have metastasized to distant places. The scope of surgery should be expanded as much as possible, so that more cancer cells can be removed, and preoperative or postoperative chemotherapy can also be considered.
4. Indications for total hysterectomy and bilateral salpingo-oophorectomy <br/>The indication for this surgery is actually type II endometrial cancer, including serous adenocarcinoma, carcinosarcoma and other different types. This type of disease can be treated according to the surgical principles and methods of ovarian cancer. In addition to this surgical method, lymph node resection is also required, and even omentectomy is required if necessary.