Influence of two kinds of preoperative examinations methods on detection rate of peritoneal cytology and the survival rate of patients with endometrial carcinoma
10.3969/j.issn.1007-1989.2017.10.012
- VernacularTitle:两种术前检查方式对子宫内膜恶性肿瘤患者腹腔细胞学检出率及随访生存率的影响
- Author:
Chen QIAN
1
;
Fang SHENG-QUAN
Author Information
1. 湖北省肿瘤医院 妇瘤科
- Keywords:
curettage of uterine cavity;
hysteroscopy;
endometrial carcinoma;
peritoneal cytology;
survival
- From:
China Journal of Endoscopy
2017;23(10):58-61
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of curettage of uterine cavity and hysteroscopy detection before operation on detection rate of abdominal cavity and the survival rate of patients with endometrial carcinoma. Methods 120 patients with endometrial carcinoma were chosen in the period from March 2011 to December 2013 were divided into 2 groups including curettage of uterine cavity group (64 patients) with curettage of uterine cavity and hysteroscopy group (56 patients) with hysteroscopy detection according to preoperative examinations methods; and the eligible rate of specimens, the concordance rate of pathological diagnosis, the detection rate of peritoneal cytology, the overall survival rate and progression free survival rate in 3 years with follow-up of both groups were compared. Results There was no significant difference in the eligible rate of specimens and the concordance rate of pathological diagnosis between the two groups (P > 0.05). The detection rate of ascites cytology of hysteroscopy group were significantly higher than curettage of uterine cavity group (P < 0.05). There was no significant difference in the overall survival rate and progression free survival rate in 3 years with follow-up between the two groups (P > 0.05). Conclusion Curettage of uterine cavity and hysteroscopy detection before operation on patients with endometrial carcinoma posses the same diagnosis value; And hysteroscopy detection maybe peritoneal metastasis risk, but have no effect on long-term survival and larger randomized controlled trials should be necessary.
