Serous and clear cell adenocarcinomas

A. These cancers are considered in a separate category from endometrioid adenocarcinomas. They have a worse prognosis overall. Patients with serious carcinomas have a poorer survival. The 3 year survival is 40% for stage I disease.

B. Serous and clear cell carcinomas are staged like ovarian cancer. A total abdominal hysterectomy and bilateral salpingo-oophorectomy, lymph node biopsy, and omental biopsy/omentectomy are completed. Washings from the pelvis, gutters and diaphragm are obtained, and the diaphragm is sampled and peritoneal biopsies completed.

References: See page 184.

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