Gynecology & Obstetrics
Open Access
ISSN: 2161-0932
ISSN: 2161-0932
Jessica Pittman
Tanzania
Research Article
The Accuracy of Surgical Assessment of Gross Myometrial Invasion as a Predictor of Lymphatic Metastases in Women with Endometrial Carcinoma
Author(s): Andrew P Soisson, Jessica Pittman, Mark K Dodson, Tom Belnap, Braydon Rowley and William SauseAndrew P Soisson, Jessica Pittman, Mark K Dodson, Tom Belnap, Braydon Rowley and William Sause
Objective: The objective of this study was to determine if the surgeon can accurately predict the depth of myometrial tumor invasion in women with endometrial cancer, and if tumor invasion will correlate with node metastases.
Methods: We identified 1,943 women with endometrial carcinoma who underwent hysterectomy. Of these, 295 underwent comprehensive surgical staging including lymph node analysis. All subjects also underwent gross examination of the uterine specimen by their surgeon where the depth of myometrial invasion was recorded. Patients with grade III tumors or papillary serous and clear cell histology were excluded. The presence or absence of myometrial invasion was then correlated with the incidence of nodal involvement to determine if this system can be used to predict tumor spread at the time of hysterectomy.
Results:.. View More»
DOI:
10.4172/2161-0932.1000199