Surgical practice patterns in endometrial cancer

Results of the Korean Gynecologic Oncology Group survey

Sang Lee Taek, Weon Kim Jae, Hoon Kim Sung, Ju Seong Seok, Eun Seop Song, Jae Hoon Kim, Jong Hyeok Kim, Noh Hyun Park, Ki Heon Lee, Nak Woo Lee, Hee Sug Ryu

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objective: This study was undertaken to document current practice patterns for the surgical treatment of endometrial cancer in Korea. Methods: Questionnaires were distributed to 131 Korean gynecologic oncologists, all members of the Korean Gynecologic Oncology Group. Questions addressed extent of hysterectomy procedure, pelvic (PEN) or paraaortic (PAN) lymph node dissection, ovarian preservation, and omentectomy. Results: Completed questionnaires were returned by 64.1% (84/131) of the oncologists at 50 institutes. Extrafascial hysterectomy (EH) was used by 32% of respondents and modified radical hysterectomy (MRH) or radical hysterectomy (RH) by 17%. Hysterectomy procedures were selectively employed based on tumor-related factors by 51% of the respondents. Laparoscopic hysterectomy was routinely utilized by 49% and was more commonly used by younger surgeons with 10 years of experience or less. PEN dissection was routinely utilized by 67% and was used selectively based on tumor-related factors by 33%. PAN dissection/biopsy was used either routinely (43%) or selectively based on tumor-related factors (43%). PAN dissection/biopsy had never been employed by 12% of the respondents. Sixty-nine percent of respondents stated that grossly normal looking ovaries can be preserved during surgery in young aged patients with early stage disease, and 29% stated that bilateral oophorectomy should be performed irrespective of age or stage. Omentectomy was routinely performed by 11% of respondents, and was selectively performed when extrauterine spread was present by 41%. Conclusion: Surgical procedures for the treatment of endometrial cancer are still not standardized among Korean gynecologic surgeons. Clinical trials to determine the benefits of the different surgical procedures should be developed.

Original languageEnglish
Pages (from-to)107-112
Number of pages6
JournalJournal of Gynecologic Oncology
Volume20
Issue number2
DOIs
Publication statusPublished - 2009 Jun 1

Fingerprint

Endometrial Neoplasms
Hysterectomy
Dissection
Biopsy
Neoplasms
Ovariectomy
Korea
Surveys and Questionnaires
Lymph Node Excision
Ovary
Clinical Trials
Therapeutics

Keywords

  • Endometrial cancer
  • Practice pattern

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynaecology

Cite this

Taek, S. L., Jae, W. K., Sung, H. K., Seok, J. S., Song, E. S., Kim, J. H., ... Ryu, H. S. (2009). Surgical practice patterns in endometrial cancer: Results of the Korean Gynecologic Oncology Group survey. Journal of Gynecologic Oncology, 20(2), 107-112. https://doi.org/10.3802/jgo.2009.20.2.107

Surgical practice patterns in endometrial cancer : Results of the Korean Gynecologic Oncology Group survey. / Taek, Sang Lee; Jae, Weon Kim; Sung, Hoon Kim; Seok, Ju Seong; Song, Eun Seop; Kim, Jae Hoon; Kim, Jong Hyeok; Park, Noh Hyun; Lee, Ki Heon; Lee, Nak Woo; Ryu, Hee Sug.

In: Journal of Gynecologic Oncology, Vol. 20, No. 2, 01.06.2009, p. 107-112.

Research output: Contribution to journalArticle

Taek, SL, Jae, WK, Sung, HK, Seok, JS, Song, ES, Kim, JH, Kim, JH, Park, NH, Lee, KH, Lee, NW & Ryu, HS 2009, 'Surgical practice patterns in endometrial cancer: Results of the Korean Gynecologic Oncology Group survey', Journal of Gynecologic Oncology, vol. 20, no. 2, pp. 107-112. https://doi.org/10.3802/jgo.2009.20.2.107
Taek, Sang Lee ; Jae, Weon Kim ; Sung, Hoon Kim ; Seok, Ju Seong ; Song, Eun Seop ; Kim, Jae Hoon ; Kim, Jong Hyeok ; Park, Noh Hyun ; Lee, Ki Heon ; Lee, Nak Woo ; Ryu, Hee Sug. / Surgical practice patterns in endometrial cancer : Results of the Korean Gynecologic Oncology Group survey. In: Journal of Gynecologic Oncology. 2009 ; Vol. 20, No. 2. pp. 107-112.
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abstract = "Objective: This study was undertaken to document current practice patterns for the surgical treatment of endometrial cancer in Korea. Methods: Questionnaires were distributed to 131 Korean gynecologic oncologists, all members of the Korean Gynecologic Oncology Group. Questions addressed extent of hysterectomy procedure, pelvic (PEN) or paraaortic (PAN) lymph node dissection, ovarian preservation, and omentectomy. Results: Completed questionnaires were returned by 64.1{\%} (84/131) of the oncologists at 50 institutes. Extrafascial hysterectomy (EH) was used by 32{\%} of respondents and modified radical hysterectomy (MRH) or radical hysterectomy (RH) by 17{\%}. Hysterectomy procedures were selectively employed based on tumor-related factors by 51{\%} of the respondents. Laparoscopic hysterectomy was routinely utilized by 49{\%} and was more commonly used by younger surgeons with 10 years of experience or less. PEN dissection was routinely utilized by 67{\%} and was used selectively based on tumor-related factors by 33{\%}. PAN dissection/biopsy was used either routinely (43{\%}) or selectively based on tumor-related factors (43{\%}). PAN dissection/biopsy had never been employed by 12{\%} of the respondents. Sixty-nine percent of respondents stated that grossly normal looking ovaries can be preserved during surgery in young aged patients with early stage disease, and 29{\%} stated that bilateral oophorectomy should be performed irrespective of age or stage. Omentectomy was routinely performed by 11{\%} of respondents, and was selectively performed when extrauterine spread was present by 41{\%}. Conclusion: Surgical procedures for the treatment of endometrial cancer are still not standardized among Korean gynecologic surgeons. Clinical trials to determine the benefits of the different surgical procedures should be developed.",
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