Endometrial Cancer

To the Editor: The article by Lu et al. (Nov. 19 issue) 1 provides comprehensive insight into endometrial cancer. We want to add two points. First, ovarian preservation should be advised for premenopausal women with early-stage endometrial cancer owing to its reported oncologic safety. 2 Furthermore, it was reported that mortality was significantly higher among women who had undergone prophylactic bilateral oophorectomy before the age of 45 years than among those who had not. 3 Second, a preoperative prediction strategy is available to aid in the identification of women at low risk for lymph node metastasis and in the decision of whether to . . .