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Endometrial cancer staging following vaginal hysterectomyFrom: John Langenberg (langenberg.john@syracuse.va.gov)Sat May 30 11:13:41 1998
I am a primary care physician caring for a postmenopausal woman s/p vaginal hysterectomy without BSO for endometrial dysplasia, with pathology showing stage IA, G1 adenocarcinoma. Her gynecologist is now recommending laparoscopic BSO to complete staging, but the patient has asked me whether this is really necessary. She is concerned about the small but finite risk associated with the procedure in light of the small likelihood of involvement of her adnexa. I have been unable to find anything in the literature that really addresses this situation. Is removal of the adnexa really necessary?
-- John N. Langenberg, M.D.
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