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This question was answered on Thu 10, Sep 2009 12:05pm by Dr. Monica, MD

endometrial cancer surgery


    
Asked by bbechek (Female; 62; htn, very into alternative medicine, very distrustful of western medicine and phys.; Relevant drugs:hase been self dosing with high doses of naturopathic herbs and vitamins ) on Fri 04, Sep 2009 09:09pm

a friend of mine, 62 years old has just been diagnosed with stage 1 endometrial ca. with stage 1 ca can a transvaginal hyst done by an ob-gyn instead of a abd hyst by a gyno-oncologist? is basically homeless with very limited funds.
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Answer by Dr. Monica, MD  on Thu 10, Sep 2009 12:05pm:

Hi, The exact stage of endometrial cancer can be determined only after the surgery has been done. The standard surgery is a total abdominal hysterectomy with bilateral salpingo-oophorectomy with pelvic lymph node dissection with collection of peritoneal washings for cytology. This is a radical procedure and is not possible to do entirely through the transvaginal route. It is important that a complete surgery is done preferably by a gynecologic oncologist. An incomplete surgery would compromise cure rates. All the best

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