title: Outcome and Follow-up of Patients with Endometrial Carcinoma Diagnosed on Operative Hysteroscopic Resection Specimens.
abstract: OBJECTIVE
  To study outcomes of patients diagnosed with endometrial carcinoma (EC) after histological analysis of endometrial resections retrieved during operative hysteroscopy performed for a presumed benign lesion.
  
  
  METHODS
  A retrospective study was conducted using medical records of patients who underwent operative hysteroscopy for a presumed benign lesion with a final diagnosis of EC between January 1994 and April 2014 in two tertiary academic centers.
  
  
  RESULTS
  A total of 29 patients were selected. International federation of gynecology and obstetrics (FIGO) classification was distributed as follows: 16 stages IA, 7 stages IB, 4 stages II and 2 stages III. Peritoneal cytology was positive in one case (stage IIIA). Median follow-up was 4.2 years (range=0.3-20.51). Two deaths were observed and were attributed to endometrial cancer.
  
  
  CONCLUSIONS
  Operative hysteroscopy does not appear to influence stage of EC nor cause retrograde seeding of EC for 27/29 (93%) patients. For 2 patients, the impact of operative hysteroscopy remains uncertain.
authors.affiliation: Department of Obstetrics and Gynecology, Hôpital La Conception, Marseille, France.
authors.forename: Julia
authors.initials: J
authors.lastname: Aumiphin
authors.affiliation: Department of Obstetrics and Gynecology, Hôpital La Conception, Marseille, France.
authors.forename: Patrice
authors.initials: P
authors.lastname: Crochet
authors.affiliation: Department of Obstetrics and Gynecology, Hôpital La Conception, Marseille, France.
authors.forename: Sophie
authors.initials: S
authors.lastname: Knight
authors.affiliation: Department of Obstetrics and Gynecology, Hôpital Nord, Marseille, France.
authors.forename: Xavier
authors.initials: X
authors.lastname: Carcopino
authors.affiliation: Department of Obstetrics and Gynecology, Hôpital La Conception, Marseille, France.
authors.forename: Ludovic
authors.initials: L
authors.lastname: Cravello
authors.affiliation: Department of Obstetrics and Gynecology, Hôpital Nord, Marseille, France.
authors.forename: Leon
authors.initials: L
authors.lastname: Boubli
authors.affiliation: Department of Obstetrics and Gynecology, Hôpital La Conception, Marseille, France aubert.agostini@ap-hm.fr.
authors.forename: Aubert
authors.initials: A
authors.lastname: Agostini
mesh_terms: D000328:Adult; D000368:Aged; D016889:Endometrial Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D015907:Hysteroscopy; D008499:Medical Records; D008875:Middle Aged; D009367:Neoplasm Staging; D010537:Peritoneum / Q000473:pathology / Q000601:surgery*; D011247:Pregnancy; D012189:Retrospective Studies
keywords: Surgical hysteroscopy; endometrial adenocarcinoma; endometrial cancer; peritoneal cytology; prognosis of endometrial cancer