The purpose of this study was to review the outcome and recurrence pattern of patients operated on for endometrial cancer with regard to its prognostic factors.Forty-two patients who underwent surgery for primary endometrial cancer at the Kochi Municipal Hospital from January 1996 to August 2002 (6 years 8 months) were retrospectively reviewed. The Kaplan-Meier survival plot was used to draw disease-free survival.Five of 42 patients had the events in which one patient died of the disease three months after the operation and four had recurrence. All recurrence parts were vaginal stump. Four of 32 patients who underwent pelvic lymphadenectomy had lymph node metastasis in which one patient in stage IV had a recurrence. The estimated 3-year disease-free survival rates of patients in stages I, II and III were 87.4%, 75.0% and 100%, respectively. The disease-free survival rate of patients in stage IV was 0% at 6 months.In Patients with endometrial cancer especially in stages I and II, prevention of the vaginal stump recurrence might have improved the disease-free survival.
survival aspects ; Recurrence ; Malignant neoplasm of endometrium ; month ; Roman Numeral IV

The purpose of this article is to describe our initial experience using laparoscopy to perform surgery for endometrial cancer. The patient was 59 years old with 2 para and was diagnosed as having a clinical endometrial adenocarcinoma in FIGO Stage Ia or Ib. Hysterectomy, bilateral salpingo-oophorectomy and lymph node sampling were performed using a laparoscopic procedure. We analyzed the problems and advantages of the procedure in this case.
Patients ; Malignant neoplasm of endometrium ; GENERAL OPERATIVE PROCEDURES ; Laparoscopic ; Procedures