Endometrial cancer

Endometrial cancer is the most common gynaecological malignancy, and an understanding of its presentation and management options is required for all gynaecologists. The surgical management of endometrial cancer has expanded to include laparoscopic surgery, and debate is ongoing regarding the merits of pelvic and para-aortic lymphadenectomy. Our understanding of the biology of endometrial cancer may help determine which women may benefit most from chemo- or hormonal therapy in an adjuvant setting. Pelvic radiation is associated with improved local control. Combination therapy with radiation and chemotherapy is under evaluation. The use of sentinel lymph node sampling is an area for further research and development.