Pathological factors associated with omental metastases in endometrial cancer.

Abstract:

PURPOSE OF INVESTIGATION:This study aimed to assess the role of omentectomy in the surgical therapy of endometrial cancer. MATERI- ALS AND METHODS: A retrospective study was performed in 98 patients who were pathologically diagnosed with endometrial cancer and had initially undergone surgical therapy at the present institution. This study analyzed the relationship between omental metastasis and clinicopathological factors. RESULTS:Omental metastasis was detected in nine patients (9%). On univariate analysis, significant number of omental metastatic lesions were detected in few cases by positive peritoneal cytology, adnexal metastasis, gross dissemination, and lymphovascular space involvement. On multivariate analysis, adnexal metastasis were a significant risk factor. The sensitivity of the spe- cial histological type and the specificity of the macroscopic peritoneal dissemination and adnexal metastasis were all high. CONCLUSION:Omentectomy plays a significant role in determining the exact surgical staging in cases with non-endometrioid cancer, adnexal metas- tasis, and macroscopic peritoneal dissemination.

journal_name

Eur J Gynaecol Oncol

authors

Sakai K,Yamagami W,Susumu N,Nomura H,Kataoka F,Banno K,Tsuda H,Aoki D

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

397-401

issue

4

eissn

0392-2936

issn

2709-0086

journal_volume

36

pub_type

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