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STAGE 1 WELL DIFFERENTIATED ADENOCARCINOMA OF THE ENDOMETRIUM

NATHAN GREEN M.D.1, ROY WILBUR MELBYE M.D.1, and JULES KERNEN M.D.2

1 Division of Radiation Therapy, Hospital of the Good Samaritan.
2 Department of Pathology, Hospital of the Good Samaritan.

The experience of 112 patients with well differentiated adenocarcinoma of the endometrium Stage 1 disease was reviewed. All patients had a total hysterectomy and bilateral salpingo-oophorectomy ; 13 patients had adjuvant radiotherapy.

The clinical stage correlated well with the pathologic stage and could be used with confidence to determine proper treatment. Almost all patients had noninvasive or minimally invasive carcinoma. No patient had tumor extension beyond the corpus.

Total hysterectomy alone gave excellent results. No patient developed vaginal or pelvic recurrence, distant metastases or death caused by endometrial cancer. The possibility of late recurrence and metastases could not be excluded.


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