Evaluation of the risk of spreading endometrial cell by hysteroscopy: a prospective longitudinal study.
Objective. The aim was to assess the intraperitoneal spread of endometrial cells during hysteroscopy. Study Design. Seventy-six women were submitted to a hysteroscopy with CO(2) under a low pressure. Group 1 had not previous diagnosis of endometrial cancer, and group 2 had previous diagnosis of endometrial cancer (stage I-92.3%). Two peritoneal washing samples were taken before (PW1) and immediately after (PW2) the procedure. The dissemination for the peritoneal cavity was defined by the presence of endometrial cells in the PW2; such cells should be absent in WP1. Results. Four patients were excluded for presenting endometrial cells in PW1. In the 72 patients left, there was no passage of cells for the peritoneal cavity. In group 1, 88% presented secretory endometrial phase with correlation of 80% between hysteroscopy and biopsy. Conclusion. Hysteroscopy performed under a low pressure of CO(2) does not cause spreading of endometrial cells into the peritoneal cavity.
de Sousa Damião
Rievani
R
Departamento de Obstetrícia e Ginecologia, Hospital do Servidor Publico Estadual, "Francisco Morato de Oliveira", Rua Pedro de Toledo 1800, 04039-901 São Paulo, SP, Brazil.
Lopes
Reginaldo Guedes Coelho
RG
Dos Santos
Emilly Serapião
ES
Lippi
Umberto Gazzi
UG
da Fonseca
Eduardo Borges
EB