Hysteroscopic Dissemination of Endometrial Carcinoma

P G Rose, Peter G. Rose, Rose PG, Geoffrey Mendelsohn, G Mendelsohn, Mendelsohn G, Kornbluth I, Irwin Kornbluth, I Kornbluth
Gynecologic Oncology · 1998 · vol. 71(1) , pp. 145–146 · doi:10.1006/gyno.1998.5139 · PMID:9784337 · W2029525433
article OA: closed CC0 ⤵ 2 in-corpus citations
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This paper examines the mechanism by which endometrial carcinoma cells spread during hysteroscopic procedures.

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Abstract

BackgroundIn patients with endometrial carcinoma, the use of hysteroscopy may result in malignant peritoneal cytology. The significance of these mechanically disseminated malignant cells is uncertain.CaseDisseminated endometrial carcinoma occurred in a 39-year-old patient with endometrial carcinoma which had been hysteroscopically resected and treated conservatively. Hysteroscopic dissemination was strongly suggested based on the limited extent of carcinoma in the uterus, the exophytic nature of the pelvic tumor implant, and the lack of associated endometriosis.ConclusionHysteroscopy should be reserved for patients in whom prior endometrial sampling fails to demonstrate malignancy.

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MeSH descriptors

Endometrial Neoplasms Hysteroscopy Neoplasm Seeding Adult Endometrial Neoplasms Female Humans Hysteroscopy

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