RT  - European Journal of Gynaecological Oncology
ID  - 10.12892/ejgo2669.2015
T1  - The opinion of gynecologists on the management of early-stage, high-grade endometrioid endometrial cancer
A1  - Y.P. Geels
A1  - L.J.M. van der Putten
A1  - E.M. van der Steen-Banasik
A1  - M.P.M.L. Snijders
A1  - L.F.A.G. Massuger
A1  - J.M.A. Pijnenborg
K1  - Endometrioid histology; Endometrial cancer; Grade 3; Questionnaire; Lymphadenectomy; Guidelines.
YR  - 2015
SP  - 402
AB  - <p><i>Purpose of investigation: </i>There is no consensus on the management of Stage I endometrioid endometrial cancer (EEC) with grade 3 histology. This study evaluates the opinion of gynecologists in The Netherlands on the management of Stage I, grade 3 EEC. <i>Materials</i><i> </i><i>and Methods: </i>Members of the Dutch Gynecologic Oncology Working Group were requested to complete a digital questionnaire on the management of Stage I, grade 3 EEC. Actual treatment of patients with Stage I, grade 3 EEC was assessed by analysis of PALGA, the Dutch Pathology Registry. <i>Results: </i>Most gynecologists prefer routine lymphadenectomy or complete staging (62.3%), while these were actually performed in 27.3% of the cases. Gynecologic oncologists are more likely to perform a lymphadenectomy than general gynecologists. There was a wide variation of clinical practice. <i>Conclusion: </i>The results of this study underline the need for additional research into management of Stage I, grade 3 EEC as well as the need for conclusive guidelines.</p>