Which of the following direct lymph node dissections in endometrial carcinoma :
Ans. is a, b and c i.e. Penetration into half of myometrium; Clear cell tumour; and Papillary serous carcinom Indications for lymph node (Pelvic and Para-aoic) dissection in Endometrial cancer (also Indications of poor Prognosis). 1. Tumour histology : Clear cell carcinoma Papillary serous carcinoma Squamous carcinoma Adenocarcinoma (Endometriod) grade II and Ill. More than half of myometrial Invasion Isthmus- cervix extension Tumour size > 2cms Extrauterine disease. As far as Peritoneal metastasis is concerned : "Positive Peritoneal cytology in itself is not a marker of poor prognosis i.e. is not an indication for lymph node dissection unless and until associated with other poor prognostic markers as above."
Penetration into half of myometrium
Clear cell Ca
Fundal involvement
All