Journal
RADIOLOGY AND ONCOLOGY
Volume 55, Issue 2, Pages 144-149Publisher
WALTER DE GRUYTER GMBH
DOI: 10.2478/raon-2021-0009
Keywords
endometrial cancer; uterus; treatment; minimally invasive surgery; laparoscopy
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The incidence of endometrial cancer is increasing due to lifestyle and behavioral risk factors. Surgery remains the gold standard of treatment, but in recent years, minimally invasive approaches have been proposed.
Background. Endometrial cancer (EC) represents a high health burden in Slovenia and worldwide. The incidence is increasing due to lifestyle and behavioural risk factors such as obesity, smoking, oestrogen exposure and aging of the population. In many cases, endometrial cancer is diagnosed at an early stage due to obvious signs and symptoms. The standard treatment is surgery with or without adjuvant therapy, depending on the stage of the disease and the risk of recurrence. However, treatment modalities have changed in the last decades, considerably in the extent of lymphadenectomy. Conclusions. The gold standard of treatment for is surgery, which may be the only treatment modality in the early stages of low-grade tumours. In recent years, a minimally invasive approach with sentinel node biopsy (SNB) has been proposed. A conservative approach with hormonal treatment is used if fertility preservation is desired. If EC is in advance stage, high-risk histology, or high grade, radiotherapy, chemotherapy, or a combination of both is recommended.
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