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

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Histologic characteristics of the patients with endometrioid endometrial carcinoma (N = 211) and non-endometrioid endometrial carcinoma (N = 16)

Histologic parameterEndometrioid endometrial carcinomaNon-endometrioid endometrial carcinomap

chi-square test

Tumour differentiation< 0.001
G1125 (59.2%)2 (13.3%)
G263 (29.9%)4 (26.6%)
G323 (10.9%)9 (60.0%)
Myometrial invasion
none8 (3.8%)1 (6.3%)0.888
less than ½123 (58.3%)9 (56.2%)
more than ½80 (37.9%)6 (37.5%)
2009 FIGO stage
IA114 (54.0%)7 (43.8%)0.025
IB54 (25.6%)1 (6.3%)
II14 (6.6%)2 (12.5%)
IIIA7 (3.3%)1 (6.3%)
IIIB5 (2.4%)0 (0.0%)
IIIC111 (4.7%)2 (12.5%)
IIIC20 (0.0%)0 (0.0%)
IVA1 (0.5%)1 (6.3%)
IVB5 (2.4%)2 (12.5%)

Histologic characteristics of the patients with stage 1 endometrial carcinoma (N = 187) who were diagnosed with hysteroscopy (HSC) or dilatation and curettage (D&C)

Stage 1HSC (N = 117)D&C (N = 59)P value
Histologic type
endometrioid adenocarcinoma112 (95.7%)56 (94.9%)0.807

chi-square test

non-endometrioid adenocarcinoma5 (4.3%)3 (5.1%)
Tumour differentiation
G175 (64.1%)29 (49.2%)0.156

chi-square test

G232 (27.4%)22 (37.3%)
G310 (8.5%)8 (13.5%)
Myometrial invasion
none5 (4.3%)3 (5.1%)0.079

chi-square test

less than ½71 (60.7%)45 (76.2%)
more than ½41 (35.0%)11 (18.6%)
Peritoneal cytology positive or suspicious negative15 (12.8%) 102 (87.2%)2 (3.4%) 57 (96.6%)0.046

chi-square test

Time from diagnosis to operation (days)35.6 ± 14.033.1 ± 12.70.255

independent sample t-test

Histologic characteristics of the patients with endometrial carcinoma (N = 227) who were diagnosed with hysteroscopy (HSC) or dilatation and curettage (D&C)

Histologic parameterHSC (N = 144)D&C (N = 83)P value
Histologic type
endometrioid adenocarcinoma137 (95.1%)74 (89.2%)0.090

chi-square test

non-endometrioid adenocarcinoma7 (4.9%)9 (10.8%)
Tumour differentiation
G190 (62.5%)37 (45.1%)0.012

chi-square test

G240 (27.8%)27 (32.9%)
G314 (9.7%)18 (22.0%)
Myometrial invasion
none5 (3.5%)4 (4.8%)0.726

chi-square test

less than ½82 (56.9%)50 (60.2%)
more than ½57 (39.6%)29 (34.9%)
Lymphovascular invasion
present20 (13.9%)14 (16.9%)0.545

chi-square test

absent124 (86.1%)69 (83.1%)
2009 FIGO stage
IA75 (52.1%)46 (55.4%)
IB42 (29.2%)13 (15.7%)
II10 (6.9%)6 (7.2%)
IIIA1 (0.7%)7 (8.4%)
IIIB3 (2.1%)2 (2.4%)0.040

chi-square test

IIIC19 (6.3%)4 (4.8%)
IIIC20 (0.0%)0 (0.0%)
IVA1 (0.7%)1 (1.2%)
IVB3 (2.1%)4 (4.8%)
Peritoneal cytology positive or suspicious negative19 (13.2%) 125 (86.8%)10 (12.0%) 73 (88.0%)0.803

chi-square test

Time from diagnosis to operation (days)35.8 ± 13.832.8 ± 15.40.140

independent sample t-test

eISSN:
1581-3207
Lingua:
Inglese
Frequenza di pubblicazione:
4 volte all'anno
Argomenti della rivista:
Medicine, Clinical Medicine, Internal Medicine, Haematology, Oncology, Radiology