The prognostic role of lymph node dissection in early-stage
endometrial cancer
The prognostic role of LND is universally accepted in early-stage EC. LN
metastasis is the most common site of extrauterine
spread(7) and an important prognostic factor
associated with EC(13). LND increases the prognostic
value of the FIGO 2009 staging system(23) and is more
accurate than preoperative imaging or palpation of
LNs(13,14). It provides precise prognostic
information, guiding the need for adjuvant radiotherapy, chemotherapy or
both(13,24) In women with negative LNs, unnecessary
adjuvant treatment can be prevented(7).