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Hysteroscopy in endometrial cancer: new methods to evaluate transtubal leakage of saline distension medium.
- Source :
- American Journal of Obstetrics & Gynecology; Feb2008, Vol. 198 Issue 2, p214-214, 1p
- Publication Year :
- 2008
-
Abstract
- Objective: This study was undertaken to evaluate transtubal fluid leakage after low pressure office saline solution hysteroscopy. Study Design: Forty stage I/II endometrial cancer patients were submitted to office hysteroscopy at the National Cancer Institute of Milan. Uterine cavity was distended by a 1000-mL saline solution bag, placed 50 cm above the patient’s plane. After visualization of uterine cavity, a radiotracer (technetirum Tc 99m) and patent blue dye were injected subendometrially. During the staging surgery peritoneal free fluid was analyzed to detect patent blue dye, technetium Tc 99m or free cancer cell by cytologic examination. Results: Technetium Tc 99m and patent blue dye were detected on the peritoneal surface and in the peritoneal fluid in 2 patients. In 1 of these peritoneal cytology was negative for cancer cells. Peritoneal cytology was positive in 2 cases. Conclusion: The risk of transtubal fluid leakage during hysteroscopy is absent when performed with intrauterine pressure less than 40 mm Hg. Transtubal fluid leakage is not a synonym of cancer cell dissemination. [Copyright &y& Elsevier]
- Subjects :
- HYSTEROSCOPY
ENDOMETRIAL cancer
CANCER
ENDOSCOPY
UTERUS examination
Subjects
Details
- Language :
- English
- ISSN :
- 00029378
- Volume :
- 198
- Issue :
- 2
- Database :
- Supplemental Index
- Journal :
- American Journal of Obstetrics & Gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 28690216
- Full Text :
- https://doi.org/10.1016/j.ajog.2007.07.035