Hysterectomy
Removing the uterus (womb), often with the cervix, tubes and ovaries. Cures most early endometrial cancers and many early cervical cancers.
Simple hysterectomy with bilateral salpingo-oophorectomy and sentinel node mapping is the standard for endometrial cancer, where minimally invasive surgery is safe (LAP2, LACE). For cervical cancer, radical hysterectomy removes parametrial tissue and upper vagina; the LACC trial (2018) showed open surgery gave better survival than laparoscopic, reversing practice, while SHAPE showed simple hysterectomy suffices for small low-risk tumours. Fertility-sparing trachelectomy is an option for young women with small cervical tumours.
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