To establish predictive factors for lymph node metastases (LNM) and the incidence rate of LNM in patients with EC
Materials and methods:
Since 2006 until 06. 2012 125 patients with EC type I ? 34 G1 (27.2%), 87 G2 (67.2%), 7 G3 (5.6%) were
operated on in Gynecological clinic-MHAT, St Anna?-Varna. According to the depth of myometrial invasion 67 patients had less
than ? (53,6%), 24- more than ? (19,2%) and 34- with tumor limited to the endometrium (27,2%).
Lymph node dissection (LND) ? pelvic and/or paraaortic was preformed in 82 patients (65,6%), 43 patients were without LND.
The number of dissected lymph nodes ranges from 7 to 20, an average- 11.
LNM were detected in 8 women out of 82? 9,76%; 1 to 3 LNM were detected in 5 patients ( 62,5%); in 2 patients (25%)
were established more than 3 LNM, and in 1 woman ? both pelvic and para-aortic LNM (12,5%).
LNM were detected in 5 (8,3%) out of 55 patients with myometrial invasion under ?, and in 3 (13,7%) of 19 patients with
invasion more than half of myometrium p< 0.05.
Incidence rate of LNM in FIGO stage II was 20% whereas in stage I -8.3%, p< 0.05.
The incidence rate of LNM in patients with G1, G2 and G3 was ? 0%, 14.3% and 25%, respectively (p<0,005).
FIGO stage, grading and depth of myometrial invasion are predictive factors for LNM in women with endometrial
cancer type I.
lymph node metastases, endometrial cancer type I.
Y.Kornovski has completed his MD and PhD degree at the Medical University of Bulgaria. He has two specializations as a obstetrics and gynecology
specialist and as a gyneoncologist. He is a head of Gynecological clinic in MHAT?St.Anna-Varna?Bulagria from 2007. He is working as aassoc prof in
the department of OBGY in Medical University of Varna. Assoc.Prof Dr. Y. Kornovski currently completing his major dissertation ?Surgical treatment
of invasive cervical cancer-contemporary aspects?. He is a member of ESGO (Europen Society of Gynecological oncology), BAMIGS (Bulgarian
Associetion of Miniinvasive Gynecological Surgery) and BSOG (Bulgarian Society of Obstetrics and Gynecology).
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