<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_raon-2016-0035_s_333_w2aab3b8c68b1b7b1aab1c16b1Aa"><h3>Background</h3><p>The aim of the study was to compare the frequency of positive peritoneal washings in endometrial cancer patients after either hysteroscopy (HSC) or dilatation and curettage (D&amp;C).</p></sec><sec id="j_raon-2016-0035_s_334_w2aab3b8c68b1b7b1aab1c16b2Aa"><h3>Patients and methods</h3><p>We performed a retrospective analysis of 227 patients who underwent either HSC (N = 144) or D&amp;C (N = 83) and were diagnosed with endometrial carcinoma at the University Medical Centre Maribor between January 2008 and December 2014. The incidence of positive peritoneal cytology was evaluated in each group.</p></sec><sec id="j_raon-2016-0035_s_335_w2aab3b8c68b1b7b1aab1c16b3Aa"><h3>Results</h3><p>There was no overall difference in the incidence of positive peritoneal washings after HSC or D&amp;C (HSC = 13.2%; D&amp;C = 12.0%; p = 0.803). However, a detailed analysis of stage I disease revealed significantly higher rates of positive peritoneal washings in the HSC group (HSC = 12.8%; D&amp;C = 3.4%; p = 0.046). Among these patients, there was no difference between both groups considering histologic type (chi-square = 0.059; p = 0.807), tumour differentiation (chi-square = 3.709; p = 0.156), the time between diagnosis and operation (t = 0.930; p = 0.357), and myometrial invasion (chi-square = 5.073; p = 0.079).</p></sec><sec id="j_raon-2016-0035_s_336_w2aab3b8c68b1b7b1aab1c16b4Aa"><h3>Conclusions</h3><p>Although the diagnostic procedure did not influence the overall incidence of positive peritoneal washings, HSC was associated with a significantly higher rate of positive peritoneal cytology in stage I endometrial carcinoma compared to D&amp;C.</p></sec></abstract>

BackgroundThe aim of the study was to compare the frequency of positive peritoneal washings in endometrial cancer patients after either hysteroscopy (HSC) or dilatation and curettage (D&C).Patients and methodsWe performed a retrospective analysis of 227 patients who underwent either HSC (N = 144) or D&C (N = 83) and were diagnosed with endometrial carcinoma at the University Medical Centre Maribor between January 2008 and December 2014. The incidence of positive peritoneal cytology was evaluated in each group.ResultsThere was no overall difference in the incidence of positive peritoneal washings after HSC or D&C (HSC = 13.2%; D&C = 12.0%; p = 0.803). However, a detailed analysis of stage I disease revealed significantly higher rates of positive peritoneal washings in the HSC group (HSC = 12.8%; D&C = 3.4%; p = 0.046). Among these patients, there was no difference between both groups considering histologic type (chi-square = 0.059; p = 0.807), tumour differentiation (chi-square = 3.709; p = 0.156), the time between diagnosis and operation (t = 0.930; p = 0.357), and myometrial invasion (chi-square = 5.073; p = 0.079).ConclusionsAlthough the diagnostic procedure did not influence the overall incidence of positive peritoneal washings, HSC was associated with a significantly higher rate of positive peritoneal cytology in stage I endometrial carcinoma compared to D&C.

Incidence of positive peritoneal cytology in patients with endometrial carcinoma after hysteroscopy vs. dilatation and curettage

Radiology and Oncology

This article is distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

BackgroundThe aim of the study was to compare the frequency of positive peritoneal washings in endometrial cancer patients after either hysteroscopy (HSC) or...

Incidence of positive peritoneal cytology in patients with endometrial carcinoma after hysteroscopy vs. dilatation and curettage

Article Category: Research Article

Published Online: Feb 07, 2016

Page range: 88 - 93

Received: Jan 30, 2016

Accepted: Apr 28, 2016

DOI: https://doi.org/10.1515/raon-2016-0035

Keywords
endometrial carcinoma, peritoneal cytology, FIGO staging, hysteroscopy, dilatation and curettage

© 2017 Andraz Dovnik, Bojana Crnobrnja, Branka Zegura, Iztok Takac, Maja Pakiz

This article is distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Incidence of positive peritoneal cytology in patients with endometrial carcinoma after hysteroscopy vs. dilatation and curettage

Article Category: Research Article

Published Online: Feb 07, 2016

Page range: 88 - 93

Received: Jan 30, 2016

Accepted: Apr 28, 2016

DOI: https://doi.org/10.1515/raon-2016-0035

Keywordsendometrial carcinoma, peritoneal cytology, FIGO staging, hysteroscopy, dilatation and curettage

© 2017 Andraz Dovnik, Bojana Crnobrnja, Branka Zegura, Iztok Takac, Maja Pakiz

This article is distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Keywords
endometrial carcinoma, peritoneal cytology, FIGO staging, hysteroscopy, dilatation and curettage