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Gucer, F; Pieber, D; Arikan, MG; Lang, P; Tamussino, K; Winter, R.
Peritoneal Cytology After Fluid Hysteroscopy in Patients with Endometrial Carcinoma
GEBURTSH FRAUENHEILK 1997 57: 435-439. Doi: 10.1055/s-2007-1023113
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Co-authors Med Uni Graz: Arikan Murat Gürkan; Pieber Doris; Tamussino Karl; Winter Raimund
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Abstract:: Purpose: The aim of this study was to determine the rate of positive peritoneal cytology in patients with endometrial carcinoma who underwent preceding hysteroscopy. Material and Methods: 33 patients with endometrial cancer underwent diagnostic fluid hysteroscopy, on the average 11 days (3-30) before surgery. The rate of positive peritoneal cytology was compared with that in 1278 patients in the literature with carcinoma limited to the uterus without preceding hysteroscopy. Results: Three of 31 patients (9.7%) had positive peritoneal cytology. All three patients were among the 28 patients with carcinoma limited to the uterus without extension to the uterine serosa (10.7%). The rate of positive peritoneal cytology in 1278 patients in the literature without preoperative irradiation or hysteroscopy was 8.5%. Conclusion: The rate of positive peritoneal cytology in patients with endometrial carcinoma after diagnostic fluid hysteroscopy is similar to that in patients without preceding hysteroscopy.