HIGHER INCIDENCE OF POSITIVE PERITONEAL CYTOLOGY IN ENDOMETRIAL CANCER BY USING INTRAUTERINE MANIPULATING SYSTEMS? A PROSPECTIVE MULTICENTER TRIAL
Dr. Silke Johann
Switzerland
22 slide(s) – 00:08:31 – English – 2011-09-14
HIGHER INCIDENCE OF POSITIVE PERITONEAL CYTOLOGY IN ENDOMETRIAL CANCER BY USING INTRAUTERINE MANIPULATING SYSTEMS?
A PROSPECTIVE MULTICENTER TRIAL
Background and aims
Positive peritoneal cytology is supposed to worsen prognosis in endometrial cancer. Laparoscopic approach is the standard for surgical staging, although some publications suggest, that the incidence of positive cytology is higher. Aim of this study was to evaluate the influence of the use of intrauterine manipulation on the rate of positive peritoneal washings. We report on the 2-year preliminary data.
Methods
Inclusion criteria were proven endometrial cancer and laparoscopic approach for surgery. Exclusion criteria were secondary tumors and intraoperative conversion to laparotomy. 3 peritoneal washings were conducted: at the beginning before insertion of the manipulating system (Hohl
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