The roles of endoscopy in endometrial cancer.
Advancements in technology have increased the availability of valuable minimally invasive techniques for gynecologists to use in the management of patients with endometrial cancer. Hysteroscopy has recently been confirmed as an accurate diagnostic method for endometrial carcinoma. Several retrospective studies have found increased positive peritoneal cytology in women who underwent hysteroscopy, but recent studies have indicated that there is currently no evidence to suggest that diagnostic hysteroscopy increases the risk of malignant cells spreading into the peritoneal cavity, or worsens the prognosis in women with endometrial carcinoma. Laparoscopy plays an important role in treating endometrial cancer. Most studies have shown no differences in recurrence rates or survival between patients who underwent laparoscopic or abdominal staging surgery. Laparoscopy offers many advantages, including avoidance of an abdominal incision, a shorter hospital stay, and a probable more rapid recovery time.
Lee
Chyi-Long
CL
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Mackay Medicine, Nursing, and Management College, Graduate Institute of Clinical Medical Sciences, Chang Gung University, Taipei, Taiwan.
Huang
Kuan-Gen
KG
Chen
Hsiu-Lin
HL
Yen
Chih-Feng
CF
D016889:Endometrial Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D009765:Obesity / Q000150:complications; D012307:Risk Factors