title: An evaluation of the clinical staging of endometrial cancer.
abstract: Therapeutic approaches to endometrial cancer have traditionally been based on preoperative clinical staging. We conducted a retrospective review of 56 women with diagnoses of stage I and II endometrial cancer in order to compare preoperative clinical staging with postoperative staging based on pathologic data. We found a change in stage based on surgical findings in 41.1% of the cases. Endocervical curettage was falsely positive in 92.8% of cases. In addition, an overall change in tumor grade occurred in 39.3% of patients. Preoperative clinical staging of endometrial cancer is associated with a large margin of error when compared to surgical pathologic data.
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Jacksonville, Florida 32209.
authors.forename: K
authors.initials: K
authors.lastname: Campbell
authors.forename: R C
authors.initials: RC
authors.lastname: Nuss
authors.forename: G I
authors.initials: GI
authors.lastname: Benrubi
mesh_terms: D003475:Curettage; D005260:Female; D006801:Humans; D009367:Neoplasm Staging / Q000379:methods*; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery