Lymphadenectomy for Endometrial Cancer
Lymphadenectomy is surgery to remove lymph nodes. A lymphadenectomy, also called lymph node dissection, may be done to examine certain lymph nodes for endometrial cancer cells. The removal and examination of the cancerous lymph nodes will determine the exact stage and grade of the cancer and may reduce the spread of the disease. The procedure can be done through an abdominal incision or by laparoscope.
A lymphadenectomy may be done:
Lymphadenectomy usually is an extensive operation in which lymph nodes in different parts of the pelvis are removed. This is necessary because cancer can spread through the lymph system to other areas of the body.
What To Expect After Surgery
Lymphadenectomy usually is done under general anesthesia. The length of time required for recovery depends upon the extent of the procedure. If the procedure is done with a laparoscope rather than by open abdominal incision, recovery time may be shorter. But most surgeons have more experience with open surgery than with laparoscopic surgery. Laparoscopic surgery may take longer than open surgery unless the surgeon is well-experienced with laparoscopic techniques.
Why It Is Done
Some doctors recommend that a lymphadenectomy be performed in all cases of endometrial cancer. Others believe that this procedure might not be needed when the cancer is diagnosed at a very early stage and is found to be a slow-growing grade. Lymphadenectomy may be needed if:
How Well It Works
Removal of lymph nodes helps to determine whether cancer is present and provides more accurate information about the extent and type of cancer cell growth. Removal of the cancerous lymph nodes may reduce the spread of cancer.
Risks of a lymphadenectomy include:
What To Think About
Lymphadenectomy often is not done if earlier tests show that low-grade cancer is in a very early stage.
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