Surgical Treatment of Early-Stage Uterine Sarcoma (FIGO I–II)
For uterine sarcoma diagnosed at an early FIGO stage (I or II), a defined surgical approach forms the basis of management. The choice and scope of the procedure are shaped by established clinical criteria.
Early-stage uterine sarcoma (FIGO I and II) represents localised disease where the evidence supports a curative-intent surgical strategy. Operative planning takes into account the extent of disease identified at the time of surgery and individual patient factors, including menopausal status.
Treatment approach — partial overview
Management centres on a defined surgical intervention; the scope and specific components of that intervention vary according to the clinical situation. The complete protocol details the full surgical framework, the criteria that govern each decision, and the considerations that differ across patient groups.
References
DOI: 10.1136/ijgc-2024-005823
- Complete removal of the intact uterus is the gold standard of surgical management (III, A).
- Bilateral salpingo-oophorectomy is the standard of care in post-menopausal women (III, A).
- In pre-menopausal women with stage I disease, ovarian preservation with bilateral salpingectomy could be considered in selected cases regardless of the histological subtype to avoid the need for post-menopausal endocrine therapy (IV, C).
- Suspicious nodes or peritoneal lesions should be removed as well (IV, B).
- Routine systematic lymphadenectomy should not be performed (III, D).
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