Leveque J, Goyat F, Dugast J, Loeillet L, Grall J Y, Le Bars S
Clinique Gynecologique B, Centre Hospitalo-Universitaire, 16 Boulevard de Bulgarie, Rennes Cedex, 35056, France.
Oncol Rep. 1998 May-Jun;5(3):713-5. doi: 10.3892/or.5.3.713.
Nineteen clinical stage I adenocarcinoma of the uterus with favourable histological prognosis factors (low grade, no myometrial extension, and no pelvic node involvement) were diagnosed using a pre-operative hysteroscopy. During the laparotomy, peritoneal cytology was performed systematically. The frequency of positive peritoneal washings was abnormally high (7 cases) with cytologic findings showing grouped cells in large clusters. However, these patients have not experienced peritoneal recurrences. The endoscopic procedures may have facilitated the transtubal malignant cell dissemination and are questionable in endometrial carcinoma.
19例具有良好组织学预后因素（低级别、无肌层浸润、无盆腔淋巴结受累）的子宫临床I期腺癌通过术前宫腔镜检查得以诊断。剖腹手术期间，系统地进行了腹腔细胞学检查。腹腔冲洗液阳性的频率异常高（7例），细胞学检查发现大量细胞呈团块状。然而，这些患者并未出现腹腔复发。内镜操作可能促进了癌细胞经输卵管播散，在子宫内膜癌中这一点存在疑问。
