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Women with the early stage 1 disease may be candidates for treatment with surgical hysterectomy, but removal of the tubes and ovaries (bilateral salpingo-oophorectomy) is also usually recommended for 2 reasons:
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Tumor cells can spread to the ovaries very early in the disease
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Any dormant cancer cells that may be present could possibly be stimulated by estrogen production by the ovaries
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Abdominal hysterectomy is recommended over vaginal hysterectomy, because it affords the opportunity to examine and obtain washings of the abdominal cavity to detect any further evidence of cancer.
Women with stage 1 disease who are at increased risk for recurrence, and those with stage 2 disease are often offered surgery in combination with radiation therapy. Chemotherapy may be considered in some cases, especially for those with stage 3 and 4 disease.
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