**6. Surgical staging**

As discussed in the previous section, it is clear that surgical staging and knowledge of lymph node status plays a very important role in the management of patients with endometrial cancer. What is not clear is what constitutes an adequate LND. The practice varies from selective sampling of accessible nodes to systematic LND. Is the latter necessary? Is a PLND adequate or is a PaLND required in addition to a PLND? If a PaLND is required, what are the limits of dissection? What are the additional risks of a LND? When are these additional risks justified? Does LND have a therapeutic effect? Below, we discuss the studies that have tried to address these questions.
