Özet:

Purpose: Study the extra uterine metastasis rates of non-endometrioid endometrial tumors with less than 50% of myometrium invasion rate Methods: Patients operated due to endometrial cancer in two ginecological oncology centers between 2005 and 2015 were scanned from clinical archives. The criteria for inclusion in the study were serous, clear cells, undiference or carcinosarcomal histologies and less than half myometrial invasion. Each histological type was analyzed for adverse metastasis, lymphatic nod metastasis (pelvic / paraaortic) and omental metastasis. Results: A total of 116 patients of the average age of 64 (34-72) were studied. 57 of the patients were serous (49.1 percent), 29 clear cell (25.0 percent), 27 carcinosarcoma (23.3 percent), and 3 (2.6 percent) and hystological type of andiferancy. 15 patients (12% of the population). 9) adnexal metastases (over / tube), nodal metastases (8.6%) in 10 patients and omental metastases (12.9%) in 15 patients were detected. Adnectic metastases were calculated as 14% for serous type, 10% for clear cell type and 11% for carcinosarcoma. Omental metastasis rates were 11% for serous type, 17% for clear cell type and 15% for carcinosarcoma. The extra peritoneal nodal metastasis rates were calculated as 12% for serous type, 7% for clear cell type and 4% for carcinosarcoma. Result: According to this study, even in the early period, the rates of omental metastasis or adnexal metastasis are high in serous, clear cell or carcinosarcomal types. However, lymphatic nod metastasis in carcinosarcoma appears lower. A comprehensive stage surgery should be planned for these patients, regardless of the depth of the myometrial invasion.

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