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. 2018 Oct 19;78(10):949–971. doi: 10.1055/a-0713-1218
No. Recommendation GoR LoE Sources
4.34 All resected lymph nodes in lymphadenectomy specimens obtained during surgery of a patient with endometrial cancer must be completely embedded and examined histologically. EC
4.35 Lymph nodes with a maximum extent of up to approx. 0.3 cm should be embedded in their entirety and larger lymph nodes should be either halved along their longitudinal axis or sliced into sections and also completely embedded. EC
4.36 Isolated tumor cells are defined as the detection of individual tumor cells or tumor cell complexes with a maximum diameter of < 0.2 mm.
Micrometastases are defined as the histological confirmation of tumor cells in lymph nodes with diameters of ≥ 0.2 mm but not bigger than 0.2 cm.
EC
4.37 The report on the findings of lymphadenectomy specimens obtained from patients with endometrial cancer must include the following information:
  • Information about the number of affected lymph nodes compared to the number of resected lymph nodes mapped to the location where the respective lymph node was resected (pelvic, paraaortal),

  • Information about the diameter of the largest lymph node metastasis in mm/cm,

  • Information about the absence/evidence of any extracapsular spread of lymph node metastasis,

  • Information about any evidence of isolated tumor cells in the lymph node as well as any evidence of lymph node invasion in perinodal fatty tissue and/or the lymph node capsule.

EC