Washing cytology of peritoneal cavity of uterine endometorial cancer.
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概要
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We investigated the relationship between the result of cytodiagnosis of peritoneal washings and other prognostic factors in specimens obtained from 42 patients with endometrial carcinoma. Cytodiagnosis was restricted to patients at stage I, II or DI in whom no extrauterine invasion or rupture of the coat was macroscopically evident upon laparotomy.<BR>The percentage of patients with positive cytodiagnostic results was 16.7%(7/42), showing no obvious difference in the positive rate in relation to the histologic type or clinical stage. There was no difference in the positive rate between patients who had undergone hysteroscopy and those who had not. Among patients with myometrial invasion, no significant difference in the positive rate was found in relation to the depth of invasion, provided that the invasion had not reached the serosa.<BR>The positive rate generally became higher as the proportion of the lesion extending to the uterus increased, some cases of small lesions showing positive cytodiagnostic results. Among patients in whom the lesion was distant from the tubal ostium, 20%(3/15) showed positive results. All 7 patients with positive results were given additional treatment and are presently alive without any sign of recurrence (after exactly 6 years at maximum, mean 3 years and 7 months).
- 特定非営利活動法人 日本臨床細胞学会の論文
特定非営利活動法人 日本臨床細胞学会 | 論文
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