Document Detail

Peritoneal cytology in endometrial carcinoma.
MedLine Citation:
PMID:  1585348     Owner:  NLM     Status:  MEDLINE    
Peritoneal cytology is accepted as part of the evaluation for patients undergoing laparotomy for a suspected or proven gynecologic malignancy. The study subjects were 83 patients with endometrial carcinoma. We investigated the significance of peritoneal cytology in endometrial carcinoma. Cytological positive results were observed in 11 (23%) of the 48 T1 cases, 9 (50%) of the 18 T2 cases and 4 (50%) of the 8 T3 cases. Cytological positive rates by histological differentiations were 14 (28%) for 50 G1 cases, 4 (36%) for 11 G2 cases and 6 (46%) for 13 G3 cases. Cytological positive results were found in 11 (28%) of 39 cases of less than 1/3 of intramuscular infiltration and 13 (37%) of 35 cases of 1/3 or more infiltration. Five (56%) of 9 metastasis cases and 17 (29%) of 59 nonmetastasis cases were found positive cytologically. An analysis of the data indicated that the influence of positive peritoneal cytology on recurrence superceded that of other known risk factors, such as grade, myometrial invasion, extrauterine disease, and lymph node metastasis. The patients with normal cytological findings at laparotomy tend to have a significantly (p less than 0.01) better prognosis than similar patients with abnormal cytological findings.
K Ito; Y Inoue; K Obata; K Noda
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Tohoku journal of experimental medicine     Volume:  166     ISSN:  0040-8727     ISO Abbreviation:  Tohoku J. Exp. Med.     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-06-12     Completed Date:  1992-06-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417355     Medline TA:  Tohoku J Exp Med     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  387-94     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Kinki University School of Medicine, Osaka, Japan.
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MeSH Terms
Adenocarcinoma / pathology*,  surgery
Ascitic Fluid / pathology*
Endometrial Neoplasms / pathology*,  surgery
Follow-Up Studies
Lymphatic Metastasis
Middle Aged
Myometrium / pathology*
Neoplasm Invasiveness
Neoplasm Staging
Ovarian Neoplasms / pathology,  secondary*

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