Value of peritoneal cytology after hysteroscopy in surgical stage I adenocarcinoma of the endometrium.
Nineteen clinical stage I adenocarcinoma of the uterus with favourable histological prognosis factors (low grade, no myometrial extension, and no pelvic node involvement) were diagnosed using a pre-operative hysteroscopy. During the laparotomy, peritoneal cytology was performed systematically. The frequency of positive peritoneal washings was abnormally high (7 cases) with cytologic findings showing grouped cells in large clusters. However, these patients have not experienced peritoneal recurrences. The endoscopic procedures may have facilitated the transtubal malignant cell dissemination and are questionable in endometrial carcinoma.
Leveque
J
J
Clinique Gynecologique B, Centre Hospitalo-Universitaire, 16 Boulevard de Bulgarie, Rennes Cedex, 35056, France.
Goyat
F
F
Dugast
J
J
Loeillet
L
L
Grall
J Y
JY
Le Bars
S
S
D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery; D000368:Aged; D001202:Ascitic Fluid / Q000473:pathology; D003581:Cytodiagnosis; D016889:Endometrial Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008875:Middle Aged; D009367:Neoplasm Staging; D010529:Peritoneal Cavity / Q000473:pathology*; D012189:Retrospective Studies