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• W2028921657 abstract "Probably the most significant, and controversial, changes advisable’’ cases came from clinical and pathologic correlations. Some patients relapsed distally, whereas others rein endometrial cancer management in the past several decades relate to the interest in the surgical–pathological fealapsed in the pelvis. On review, many cases involving the lower uterine segment or cervix seemed to incur a high tures of low-stage corpus cancer, and the 1988 FIGO change that now defines appropriate staging of this disease by surgirate of pelvic relapse. Those high in the fundus more often relapsed distally. cal features rather than the former clinical basis. This is a ‘‘radical’’ change [1]. Since endometrial cancer This observation was built into the next step in the evolution of FIGO staging (Table 1, B). Disease confined to the is the most common gynecologic cancer in the United States, and since most cases present in low-stage settings, it is a uterus was separated into stage I (corpus only) and stage II (corpus and the cervix). Stages III and IV bear little additopic of significant interest in the gynecologic community. Further, it is a subject of keen interest not just to gynecotional comment. In 1971 a further modification was introduced by FIGO logic oncologists, but to the general obstetrics/gynecology community, and indeed, the general surgical community as (Table 1, C). At that point we were advised to divide stage I into IA and IB based on depth of the uterine cavity; and well. These remarks, therefore, will be a critique of surgical a further important refinement recognized the biological significance of varying degrees of histologic differentiation of staging in endometrial cancer. And a critique—I freely acknowledge—from a very personal perspective. Since this is the cancer. a personal review, I ask the reader to begin where I began, Clinical Myths some 40 years ago." @default.
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• W2028921657 date "1997-08-01" @default.
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• W2028921657 title "Surgical Staging of Endometrial Cancer: Evolution, Evaluation, and Responsible Challenge—A Personal Perspective" @default.
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• W2028921657 doi "https://doi.org/10.1006/gyno.1997.4732" @default.
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