[Surgery for isolated, pelvic nodal metastasis in surgically staged (G1, FIGO -1) endometrial cancer patient].

A case of surgically staged G1, FIGO 1 endometrial cancer patient with isolated, pelvic nodal metastasis after radical hysterectomy with bilateral salpingo-oophorectomy and selective lymph node dissection. No adjuvant radiotherapy passed. Pre surgery diagnosis was made by Doppler Ultrasound, Angiography, MRI, and PET-CT. A high risk surgery was performed with pelvic lymphonodectomy and resection of big pelvic blood vessels. Aggressive intraoperative infusion therapy was leaded for patient restitution. This particular case raised again the questions about routine systematic pelvic lymphonodectomy and postoperative radiotherapy for first stage (G1, G2) endometrial cancer patients.