Journal of Surgery

The definition of "sentinel" lymph nodes today has found wide application in clinical practice for complex examination and treatment of patients with cancer of the uterine body. Further research in this direction will help to optimize intraoperative staging of tumors. They will also allow avoiding extended surgeries and limiting themselves only to the removal of sentinel lymph nodes in the early stages of the disease. And vice versa, to expand the scope of the operation if lymphogenous metastases are detected outside the zone removed by standard lymph node dissection. The definition of SLN is sufficient to identify patients at high risk of recurrent EC and to plan adjuvant therapy.

During the period from 2018 to 2020, hysteroresectoscopy was performed on 87 patients of late reproductive, pre- and postmenopausal age. The entire scope of examination, treatment and follow-up of patients before and after ablation was performed in the conditions of the NOVAMED Polyvalent Hospital. Indications for endometrial ablation are benign endometrial diseases, precancer and initial cancer of the uterine body (stage Ia) in patients of pre- and postmenopausal age with ineffectiveness, resistance, or contraindications to hormone therapy or radical surgical treatment due to pronounced extragenital. The results of the study allow us to recommend endometrial ablation as an alternative to classical methods of treatment (hormone therapy and extirpation of the uterus with appendages) in patients with atypical hyperplasia and initial endometrial cancer (Ia stage)