Outcome and Follow-up of Patients with Endometrial Carcinoma Diagnosed on Operative Hysteroscopic Resection Specimens

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作   者：

Aumiphin, Julia;  Crochet, Patrice;  Knight, Sophie;  Carcopino, Xavier;  Cravello, Ludovic;  Boubli, Leon;  Agostini, Aubert; 

作者机构：

Marseille;  Hop La Concept;  Dept Obstet & Gynecol;  F-13005 Marseille;  Hop Nord Marseille;  147 Blvd Baille;  France; 

关键词：

Surgical hysteroscopy;  endometrial cancer;  prognosis of endometrial cancer;  peritoneal cytology;  endometrial adenocarcinoma; 

期刊名称：

Anticancer Research: International Journal of Cancer Research and Treatment

i s s n：

0250-7005

年卷期：

2016 年 36 卷 8 期

页   码：

4341-4345

页   码：

摘   要：

Aim: 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. Patients and 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. Conclusion: 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.