Although the rates of minimally invasive surgery and sentinel lymph node biopsy have increased considerably over time in the surgical management of early-stage uterine cancer, practice varies significantly in the United States, and there are disparities among low-volume centers and patients of Black race. A significant number of counties in the United States are without a gynecologic oncologist, and almost half of the counties with the highest gynecologic cancer rates lack a local gynecologic oncologist.

中文翻译：

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非转移性子宫癌患者手术护理质量的地理和种族差异


尽管在早期子宫癌的手术治疗中，微创手术和前哨淋巴结活检的发生率随着时间的推移而大大增加，但美国的实践差异很大，并且低容量中心和黑人患者之间存在差异。美国有相当多的县没有妇科肿瘤科医生，几乎一半的妇科癌症发病率最高的县没有当地的妇科肿瘤医生。