Surgery
Surgery to remove the uterus (hysterectomy) is
the most common treatment for
endometrial cancer. The surgeon will also remove the
fallopian tubes, ovaries, and often the
pelvic lymph nodes
, which are examined to find out the extent of the cancer and
to help plan your treatment. If examination of tissue determines that more
aggressive cancer still may be in the lymph system, a lymphadenectomy may be
done to remove and examine additional lymph nodes. Surgery has the highest cure
rate of all treatments for endometrial cancer.
Surgery Choices
- Hysterectomy
with removal of the fallopian tubes and ovaries (bilateral
salpingo-oophorectomy)
- Lymphadenectomy
(removal of lymph nodes)
What To Think About
Laparoscopic surgery is an option
for treating your endometrial cancer. This surgery is done with a tiny camera
and special instruments. The surgeon puts these tools through several small
incisions (cuts) in the belly. Some surgeons do this surgery by guiding robotic
arms that hold the surgery tools. This is called robot-assisted
laparoscopy.
Most women have their ovaries removed after a
diagnosis of endometrial cancer to make sure the cancer has not spread to the
ovaries, to reduce the production of
estrogen, and to slow cancer growth. And some women
who have had endometrial cancer may be at greater risk of developing
ovarian cancer.
You will not be able to
become pregnant or continue to menstruate after a hysterectomy. If you have not
yet gone through
menopause, it will begin as soon as your ovaries are
removed. For more information, see the topic
Menopause and Perimenopause.