Risk Factors of Lampe et al for Pelvic Lymph Node Metastases in a Woman with Endometrial Adenocarcinoma

 

Preoperative and intraoperative risk factors:

(1) serous papillary histologic type

(2) high grade (poorly differentiated)

(3) deep myometrial invasion

(4) cervical involvement by macroscopic exam

 

Additional risk factors identified in the resected uterus (postoperative):

(1) lymphovascular invasion

 

The presence of lymphovascular spread was the most helpful finding but is not usually available for decision-making.

 

The model that detects most pelvic node metastases is associated with a high rate of women undergoing the additional surgery with no evidence of nodal metastases.