Objective: Endometrial carcinoma is the most common gynaecologic malignancy; we decided to analyse how this carcinoma is usually treated in Italy in order to define what the most questionable issues are. Methods: We mailed a questionnaire to all the gynaecologic departments of medical schools and 186 general hospitals reported in the mailing list of the Italian Society of Gynaecologic Oncology and we evaluated the answers. Results: We did not find any significant difference between the answers obtained from general hospitals and university centres. The majority of the centres declared not to adopt a different treatment according to menopausal status (76%) and age (83%); lymphadenectomy is performed systematically in 36% of the centres, 4% do not carry it out at all, while the remaining 60% declared that they perform it only in the presence of particular clinico-surgical conditions. More than half of the centres adopted cervico-hysteroscopy as a standard presurgical procedure in staging of endometrial cancer. Simple hysterectomy with bilateral salpingoophorectomy is still considered the treatment of choice in this kind of neoplasia since radical surgery is usually performed in 5.5% of the centres and the remaining 71.4% adopted enlarged hysterectomy when negative prognostic factors are present. Adjuvant treatment in FIGO stage Ic is recommended in 94% of the centres, while there is no agreement about adjuvant treatment in pathological stage I with negative lymph-nodes. Conclusions: Our data confirm the need to design guidelines in the management of endometrial carcinoma in clinical practice, while waiting for results of some ongoing clinical trials devoted to exploring adjuvant therapy in high risk patients.
|Number of pages||8|
|Journal||Italian Journal of Gynaecology and Obstetrics|
|Publication status||Published - 1999|
- Clinical trials
- Endometrial cancer
ASJC Scopus subject areas
- Obstetrics and Gynaecology