Tumor cell spillage to the vaginal cavity and vaginal stump during the surgery of endometrial carcinoma.
BACKGROUND
Our purpose was to investigate the spillage of the endometrial carcinoma cells to the vaginal cavity and vaginal stump during the surgery.


METHODS
Cytologic examination of specimens obtained from the vaginal cavity and vaginal stump during surgery performed on 15 patients with endometrial carcinoma. And the risk factors of carcinoma cell spillage to the vaginal cavity were investigated.


RESULTS
Carcinoma cells from the vaginal cavity were negative for nine patients and positive for six patients. Those from the vaginal stump were negative for l4 patients and positive for one patient. In one patient, both were positive. Total abdominal hysterectomy might be one risk of carcinoma cell spillage to the vaginal cavity compared with modified radical hysterectomy and radical hysterectomy.


CONCLUSIONS
Endometrial carcinoma cells were spilled into the vaginal cavity in not a few cases and their spillage from there to the vaginal stump could follow during the surgery.
Department of Obstetrics and Gynecology, Musashino Red Cross Hospital, and University of Tokyo, Tokyo, Japan.
E
E
Ryo
Y
Y
Yorinaga
T
T
Nagasaka
H
H
Yoshikawa
Y
Y
Taketani
D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D016889:Endometrial Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000209:etiology*; D009366:Neoplasm Seeding; D014621:Vagina; D014625:Vaginal Neoplasms / Q000209:etiology*