Endometrial cancer is one of the most commonly diagnosed gynecologic malignancies in developed countries. The fundamental extent of the operation involves hysterectomy and bilateral salpingo-oophorectomy for the endometrial carcinoma. The presence of LVSI is associated with lymph node metastases. However, Lymphadenectomy can’t improve the survival rate and has a reported higher rate of postoperative complications in endometrial cancer patients. So lymphadenectomy is a controversial issue in recent years. LVSI is a crucial factor in determining the lymphadenectomy and cannot be detected on traditional MR imaging.
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