<prompt> Which of the following direct lymph node dissections in endometrial carcinoma :Penetration into half of myometriumClear cell CaFundal involvementAll  <response>: Ans. is a, b and c i.e. Penetration into half of myometrium; Clear cell tumour; and Papillary serous carcinom Indications for lymph node Pelvic and Para-aoic dissection in Endometrial cancer also Indications of poor Prognosis. 1. Tumour histology : Clear cell carcinoma Papillary serous carcinoma Squamous carcinoma Adenocarcinoma Endometriod grade II and Ill. More than half of myometrial Invasion Isthmus- cervix extension Tumour size 2cms Extrauterine disease. As far as Peritoneal metastasis is concerned : Positive Peritoneal cytology in itself is not a marker of poor prognosis i.e. is not an indication for lymph node dissection unless and until associated with other poor prognostic markers as above. 