title: Pathological factors associated with omental metastases in endometrial cancer.
abstract: OBJECTIVE
  This study aimed to assess the role of omentectomy in the surgical therapy of endometrial cancer. MATERI- ALS AND METHODS: A retrospective study was performed in 98 patients who were pathologically diagnosed with endometrial cancer and had initially undergone surgical therapy at the present institution. This study analyzed the relationship between omental metastasis and clinicopathological factors.
  
  
  RESULTS
  Omental metastasis was detected in nine patients (9%). On univariate analysis, significant number of omental metastatic lesions were detected in few cases by positive peritoneal cytology, adnexal metastasis, gross dissemination, and lymphovascular space involvement. On multivariate analysis, adnexal metastasis were a significant risk factor. The sensitivity of the spe- cial histological type and the specificity of the macroscopic peritoneal dissemination and adnexal metastasis were all high.
  
  
  CONCLUSIONS
  Omentectomy plays a significant role in determining the exact surgical staging in cases with non-endometrioid cancer, adnexal metas- tasis, and macroscopic peritoneal dissemination.
authors.forename: K
authors.initials: K
authors.lastname: Sakai
authors.forename: W
authors.initials: W
authors.lastname: Yamagami
authors.forename: N
authors.initials: N
authors.lastname: Susumu
authors.forename: H
authors.initials: H
authors.lastname: Nomura
authors.forename: F
authors.initials: F
authors.lastname: Kataoka
authors.forename: K
authors.initials: K
authors.lastname: Banno
authors.forename: H
authors.initials: H
authors.lastname: Tsuda
authors.forename: D
authors.initials: D
authors.lastname: Aoki
mesh_terms: D000328:Adult; D000368:Aged; D016889:Endometrial Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D009852:Omentum / Q000473:pathology* / Q000601:surgery; D010534:Peritoneal Neoplasms / Q000601:surgery*; D012189:Retrospective Studies