Frequency of positive peritoneal cytology during laparotomy, especially in clinical stage I adenocarcinoma of the endometrium.

Takaaki Kurose, Tamotsu Hando, Masayuki Ohno, Tatsuya Igarashi, Atsuko Shiota
In: The Journal of the Japanese Society of Clinical Cytology · 1995 · vol. 34(6) , pp. 1094–1097 · doi:10.5795/jjscc.34.1094 · W2326638757
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Among 47 endometrial cancer patients undergoing laparotomy, 10.6% had positive peritoneal cytology, with deep myometrial invasion suggested as a potential factor in this cohort including clinical stage I cases.

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Abstract

1984～1993年の10年間に香川医科大学附属病院で治療された子宮体癌68例中, 術中腹膜細胞診施行例は47例であり, うち5例 (10.6%) が陽性であった. これを臨床進行期1期のみについてみると, 腹膜細胞診陽性例は41例中4例 (9.8%) であった. ただし, この中には手術進行期分類IIIの1例が含まれていた. 腹膜細胞診陽性例は, 腺扁平上皮癌, 未分化腺癌や推計学的有意差はなかったものの子宮筋層浸潤の深いものとの関連が示唆された. 腹膜細胞診陽性5例中1例は, 細胞形態学的に悪性細胞と判別できたものの子宮体癌由来と診断することは難しい細胞像を呈していた.術前に子宮鏡診を施行した46例中, わずか4例のみが腹膜細胞診陽性であった.

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