PMID: 11906551Mar 22, 2002Paper

Omentectomy, peritoneal biopsy and appendectomy in patients with clinical stage I endometrial carcinoma

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
U SaygiliO Erten

Abstract

The aim of this study was to evaluate whether omentectomy, appendectomy, and peritoneal biopsy should be a routine part of staging surgery in endometrial carcinoma. Data of 97 patients who had been diagnosed with clinical stage I endometrial carcinoma were reviewed. Associations in the data obtained, pelvic and para-aortic lymph node status, depth of myometrial invasion, grade, and histology were investigated. The chi-square (chi2) test was used for statistical analysis. Of 97 patients, six (6%) had omental metastases, which was microscopic in four. There was a statistically significant relationship between omental metastasis and tumor grade (P < 0.01). Deep myometrial invasion was significantly more common in patients with omental metastases. Tumor was found in one of 55 appendectomy specimens (2%). Omentectomy may be included in surgical staging in patients with deeply invasive or grade 3 endometrial cancer because of the possibility of omental metastasis in spite of what appears to be stage I disease in laparotomy. In other cases, omentectomy and appendectomy and biopsies from peritoneal sites should be performed in the presence of grossly suspicious disease.

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Citations

Apr 4, 2008·Journal of Cancer Research and Clinical Oncology·Jale Metindir, Gülay Bilir Dilek
May 10, 2006·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·S DilekM C Yenen
May 1, 2007·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·H FujiwaraM Suzuki
Jun 19, 2004·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Cathy Burke, K Hickey
Mar 3, 2009·Gynecologic Oncology·Alexander B Olawaiye, David M Boruta
Feb 19, 2015·Annals of Surgical Oncology·Won Duk JooChan Lee
Mar 10, 2007·American Journal of Obstetrics and Gynecology·Gloria S HuangGary L Goldberg
Dec 4, 2012·International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists·W Glenn McCluggageLynn Hirschowitz
May 26, 2017·Journal of Gynecologic Oncology·Toru SugiyamaHiroaki Itamochi
Jul 25, 2019·Oncology Research and Treatment·Mehmet BayrakHakan Ozan

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