Endometrial metastases

Hipp S, Walch A, Schuster T, et al. Precise measurement of the E-cadherin repressor Snail in formalin-fixed endometrial carcinoma using protein lysate microarrays. Clin. Exp. Metastasis 2008 25 679-683. 

McKenney JK, Kong CS, Longacre TA. Endometrial adenocarcinoma associated with subtle lymph-vascular space invasion and lymph node metastasis A histologic pattern mimicking intravascular and sinusoidal histiocytes. Int J Gynecol Pathol. 2005 24 73-78. 

Pengchong H, Tao H. Expression of IGF-IR, VEGF-C and D2-40 and their correlation with lymph node metastasis in endometrial adenocarcinoma. Eur J Gynecol Oncol. 2011 32 660-4. 

Lymph node dissection is also recommended in histological subtypes associated with a higher risk of lymph node metastasis (e.g., clear cell, serous papillary endometrial carcinoma). Pelvic lymph node dissection should be performed in combination with para-aortic lymph node dissection because of the high risk of metastasis at both sites [24]. Whether lymphadenectomy is curative in endometrial cancer remains controversial [38]. 

Hirahatake K, Hareyama H, Sakuragi N, Nishiya M, Makinoda S, Fujimoto S (1997) A clinical and pathologic study on para-aortic lymph node metastasis in endometrial carcinoma. J Surg Oncol 65 82-87... 

Fig. 15.6. Retroperitoneal (para-aortic) lymph node metastasis in a patient with endometrial cancer (arrow). Axial T2w TSE image obtained with respiratory triggering using the navigator technique...

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