Outcome and Follow-up of Patients with Endometrial Carcinoma Diagnosed ă on Operative Hysteroscopic Resection Specimens
Résumé
Aim: To study outcomes of patients diagnosed with endometrial carcinoma ă (EC) after histological analysis of endometrial resections retrieved ă during operative hysteroscopy performed for a presumed benign lesion. ă Patients and Methods: A retrospective study was conducted using medical ă records of patients who underwent operative hysteroscopy for a presumed ă benign lesion with a final diagnosis of EC between January 1994 and ă April 2014 in two tertiary academic centers. Results: A total of 29 ă patients were selected. International federation of gynecology and ă obstetrics (FIGO) classification was distributed as follows: 16 stages ă IA, 7 stages IB, 4 stages II and 2 stages III. Peritoneal cytology was ă positive in one case (stage IIIA). Median follow-up was 4.2 years ă (range=0.3-20.51). Two deaths were observed and were attributed to ă endometrial cancer. Conclusion: Operative hysteroscopy does not appear ă to influence stage of EC nor cause retrograde seeding of EC for 27/29 ă (93%) patients. For 2 patients, the impact of operative hysteroscopy ă remains uncertain.