Endometrial Cancer
In case of low grade, early stage (Low Grade or Grade 1 or advanced differentiation, these are all synonyms) endometrial cancer, the uterus and ovaries may be preserved following a recognized international monitoring protocol including regular endometrial biopsies with dilation and curettage, often in tandem with hysteroscopy. Furthermore, progesterone medications in the form of pills and/or IUD or a combination of both are administered.
It is noted that this treatment is selected after EXTENSIVE discussions with the patient, who should be informed that this is an alternative to surgery and NOT a first-line treatment. Moreover, upon desired childbirth, the patient proceeds to the surgical treatment already described in the endometrial cancer section.
Laparotomy is still considered a reliable and trustworthy procedure for a trained surgeon to perform whenever deemed clinically necessary.
In 2009, Dr. G. Hilaris and his team performed the first ever robot-assisted surgical staging in Greece, for endometrial cancer in a 39-year-old patient.
This is an operation to remove the entire uterus, as well as the fallopian tubes & ovaries, and its quite common, in case of endometrial (uturine) cancer.