Standard of care in the surgical management of endometrial cancer

Endometrial cancer is the second most common gynaecological cancer and the fifth most common female cancer overall, in the Western world. In the Asian continent, it ranks as the third common cancer in the female genital tract. Most women with endometrial carcinomas are post-menopausal, with the majority of cases occurring between fifty and sixty five years of age. Up to 25% of affected women are pre-menopausal and a minority (less than 5%) is diagnosed before the age of 40 years. Endometrial cancer is associated with a number of reproductive risk factors (see Box) including early menarche and late menopause, continuous anovulation (PCOS), nulliparity and infertility. Standard of care in the surgical management of endometrial cancer