Impact of hysteroscopy on disease-free survival in clinically stage I endometrial cancer patients

Obermair, A, Geramou, M, Gucer, F, Denison, U, Graf, AH, Kapshammer, E, Medl, M, Rosen, A, Wierrani, F, Neunteufel, W, Frech, I, Preyer, O, Speiser, P, Kainz, C and Austrian Gynecol Oncol Stu (2000) Impact of hysteroscopy on disease-free survival in clinically stage I endometrial cancer patients. International Journal of Gynecological Cancer, 10 4: 275-279. doi:10.1046/j.1525-1438.2000.010004275.x


Author Obermair, A
Geramou, M
Gucer, F
Denison, U
Graf, AH
Kapshammer, E
Medl, M
Rosen, A
Wierrani, F
Neunteufel, W
Frech, I
Preyer, O
Speiser, P
Kainz, C
Austrian Gynecol Oncol Stu
Title Impact of hysteroscopy on disease-free survival in clinically stage I endometrial cancer patients
Journal name International Journal of Gynecological Cancer   Check publisher's open access policy
ISSN 1048-891X
Publication date 2000-07-01
Year available 2000
Sub-type Article (original research)
DOI 10.1046/j.1525-1438.2000.010004275.x
Open Access Status DOI
Volume 10
Issue 4
Start page 275
End page 279
Total pages 5
Place of publication MALDEN
Publisher BLACKWELL SCIENCE INC
Language eng
Abstract Recent data strongly suggest tumor cell dissemination of endometrial carcinoma cells in the course of fluid hysteroscopy. In patients who had endometrial cancer which was (except for peritoneal cytology) confined to the uterus, the disease free survival (DFS) of 135 patients who underwent hysteroscopy prior to staging laparotomy was compared with the DFS of 127 patients without hysteroscopy. After a median follow-up of 23 months, 10 patients experienced tumor recurrence. Although there was a trend towards a higher incidence of positive peritoneal cytology at laparotomy in patients who underwent hysteroscopy, this difference did not achieve statistical significance (P = 0.47). For 5 years, the DFS was 92.4% in patients with hysteroscopy and 84.7% in patients without hysteroscopy before laparotomy (log-rank, P = 0.782). Our data therefore suggest a similar short-term DFS in endometrial cancer patients with and without hysteroscopy prior to laparotomy.
Keyword endometrial cancer
hysteroscopy
prognosis
Assisted Vaginal Hysterectomy
Port Site Metastasis
Peritoneal Cytology
Possible Mechanisms
Carcinoma
Adenocarcinoma
Dissemination
Prevention
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: ResearcherID Downloads - Archived
 
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