A need for laparoscopic evaluation of patients with endometrial carcinoma selected for conservative treatment.
BACKGROUND
The aim of this paper was to report two cases of extrauterine disease in patients with early stage endometrial cancer (EC) who desired fertility-sparing management.


METHODS
Two patients presenting an apparent early stage EC and desiring conservative management. The two patients, aged 35 and 36 years old, had a grade 1 and grade 2 EC diagnosed after curettage or hysteroscopic resection of a polyp. Ultrasound (US) imaging was normal (ovary). Once informed about the risk of recurrence, both patients opted for conventional therapy (hysterectomy with bilateral salpingo-oophorectomy). A small ovarian carcinoma was found in one patient and isolated positive peritoneal cytology in the other.


CONCLUSIONS
These cases seem to suggest that laparoscopic evaluation including adnexal exploration and peritoneal cytology (and possibly pelvic lymphadenectomy) should be performed in patients with early stage EC selected for conservative management to confirm the absence of extrauterine disease.
Morice
Philippe
P
Service de Chirurgie Gynécologique, Institut Gustave Roussy, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France. morice@igr.fr
Fourchotte
Virgine
V
Sideris
Lucas
L
Gariel
Camille
C
Duvillard
Pierre
P
Castaigne
Damienne
D
D000328:Adult; D003536:Cystadenocarcinoma / Q000175:diagnosis / Q000601:surgery; D016889:Endometrial Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D005298:Fertility; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000601:surgery