title: [Problems in the preoperative diagnosis of cervical involvement in endometrial carcinoma].
abstract: In adenocarcinoma of the endometrium it is very important to differentiate stage I from stage II, since each of these stages involves different metastasizing paths necessitating different surgical approaches. Fractionated abrasion yields considerably imprecise information on the extension of the tumour. Whereas a negative cervical fraction is diagnostically very safe, the identification of a tumour via this fraction requires further testing, since contamination by a carcinoma of the endometrium limited to the corpus is more likely than a carcinoma which has penetrated into the cervix. It is recommended to perform additional diagnostic measures, in particular hysteroscopy with target-specific biopsy or abrasion.
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008722:Methods; D009367:Neoplasm Staging; D011300:Preoperative Care; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery
vernacular_title: Zur Problematik der präoperativen Diagnostik des Zervixbefalls beim Endometriumkarzinom.