子宫内膜腺癌是妇女最常见的生殖道恶性肿瘤。统计资料显示子宫内膜癌患者实施手术分期的比例在提高。然而对于中危病例(深肌层浸润、组织学中/低分化、腹腔细胞学阳性、宫颈受侵)术后是否给予辅助治疗尚有争议。为评价Ⅰ期子宫内膜癌患者经全面的手术分期后不接受辅助治疗的临床结局,回顾性分析了1993～1998年间在Alabama大学医院计算机存档资料中所有初次手术的子宫内膜癌病例。删除高危组织类型(浆液性乳头状癌和透明细胞癌)、非上皮性肿瘤及术前行放疗的病例。手术分期包括全子宫+双附件切除 Endometrial adenocarcinoma is the most common genital cancer in women. Statistics show that the proportion of patients with endometrial cancer surgery staging is on the rise. However, there is still controversy about whether adjuvant therapy is given after moderate-risk cases (deep myometrial invasion, histological / poorly differentiated, positive peritoneal cytology, cervical invasion). In order to evaluate the clinical outcome of patients with stage I endometrial cancer who underwent complete surgical staging without adjuvant therapy, all cases of primary endometrial cancer in the computerized archives of Alabama University Hospital from 1993 to 1998 were retrospectively analyzed. High-risk tissue types (serous papillary and clear cell carcinomas), non-epithelial tumors and preoperative radiotherapy were deleted. Surgical staging including full uterus + double attachment resection