Jelen I, Anderson B, Jones N C, Edinger D D, Watring W G
J Reprod Med. 1986 Aug;31(8):680-3.
Accurate assessment of cervical involvement in endometrial carcinoma (stage II) is often difficult. The value of tracheloscopy as a possible method for improving accuracy was assessed. One hundred one patients with endometrial carcinoma were studied; 28 were suspected of having cervical involvement on endocervical curettage, and 26 were evaluable. Only five patients were documented to have cervical involvement using tracheloscopy. This finding suggests that there is general overtreatment of patients with false-positive endocervical curettage. However, a definitive statement concerning the incidence of stage II disease in the series cannot be made because many patients received traditional preoperative radiation therapy, which may have eradicated intracervical disease missed by tracheloscopy, therefore falsely confirming stage 1 disease on history from subsequent hysterectomy specimens.
准确评估子宫内膜癌（II期）的宫颈受累情况往往很困难。评估了气管镜检查作为提高准确性的一种可能方法的价值。对101例子宫内膜癌患者进行了研究；28例在宫颈刮除术中被怀疑有宫颈受累，其中26例可进行评估。使用气管镜检查记录到只有5例患者有宫颈受累。这一发现表明，宫颈刮除术假阳性的患者普遍存在过度治疗的情况。然而，由于许多患者接受了传统的术前放射治疗，这可能已经根除了气管镜检查遗漏的宫颈内疾病，因此从随后的子宫切除标本的病史中错误地确认了I期疾病，所以无法对该系列中II期疾病的发生率做出明确的陈述。
