Question 1

Question

A 67-year-old woman with endometrial cancer undergoes robotic-assisted staging surgery. Final pathology reveals grade 2 endometrioid adenocarcinoma with 60% myometrial invasion, positive pelvic lymph nodes (2/15), negative para-aortic nodes (0/8), and lymphovascular space invasion. No cervical or adnexal involvement. The tumor care team debates adjuvant treatment. Evaluate which combination of pathologic features most significantly impacts treatment recommendations?

Accepted Answer

Positive pelvic nodes and negative para-aortic nodes

Answer

Grade 2 histology and depth of myometrial invasion

Answer

Number of positive nodes and total nodes removed

Answer

Lymphovascular space invasion and myometrial invasion depth

Answer

Absence of cervical involvement and patient age

Gynecologic Surgery — MCQs

Gynecologic Surgery — MCQs

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