Taiwanese Journal of Obstetrics and Gynecology
Volume 47, Issue 4 , Pages 379-383, December 2008

The Roles of Endoscopy in Endometrial Cancer

  • Chyi-Long Lee

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taipei, Taiwan
  • ,
  • Kuan-Gen Huang

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taipei, Taiwan
  • ,
  • Hsiu-Lin Chen

      Affiliations

    • Mackay Medicine, Nursing, and Management College, Taipei, Taiwan
  • ,
  • Chih-Feng Yen

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taipei, Taiwan
    • Graduate Institute of Clinical Medical Sciences, Chang Gung University College of Medicine, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to Dr Chih-Feng Yen, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan, Taiwan

Accepted 23 June 2008.

Article Outline

SUMMARY

Advancements in technology have increased the availability of valuable minimally invasive techniques for gynecologists to use in the management of patients with endometrial cancer. Hysteroscopy has recently been confirmed as an accurate diagnostic method for endometrial carcinoma. Several retrospective studies have found increased positive peritoneal cytology in women who underwent hysteroscopy, but recent studies have indicated that there is currently no evidence to suggest that diagnostic hysteroscopy increases the risk of malignant cells spreading into the peritoneal cavity, or worsens the prognosis in women with endometrial carcinoma. Laparoscopy plays an important role in treating endometrial cancer. Most studies have shown no differences in recurrence rates or survival between patients who underwent laparoscopic or abdominal staging surgery. Laparoscopy offers many advantages, including avoidance of an abdominal incision, a shorter hospital stay, and a probable more rapid recovery time.

Key Words:  endometrial cancer , hysteroscopy , laparoscopy , staging surgery

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References 

  1. Clark TJ , Voit D , Gupta JK , Hyde C , Song F , Khan KS . Accuracy of hysteroscopy in the diagnosis of endometrial cancer and hyperplasia: a systematic quantitative review . JAMA . 2002;288:1610–1621
  2. Bedner R , Rzepka-Gorska I . Hysteroscopy with directed biopsy versus dilatation and curettage for the diagnosis of endometrial hyperplasia and cancer in perimenopausal women . Eur J Gynaecol Oncol . 2007;28:400–402
  3. Nagele F , Wieser F , Deery A , Hart R , Magos A . Endometrial cell dissemination at diagnostic hysteroscopy: a prospective randomized cross-over comparison of normal saline and carbon dioxide uterine distension . Hum Reprod . 1999;14:2739–2742
  4. Obermair A , Geramou M , Gucer F , et al.   Does hysteroscopy facilitate tumor cell dissemination? Incidence of peritoneal cytology from patients with early stage endometrial carcinoma following dilatation and curettage (D&C) versus hysteroscopy and D&C . Cancer . 2000;88:139–143
  5. Zerbe MJ , Zhang J , Bristow RE , Grumbine FC , Abularach S , Montz FJ . Retrograde seeding of malignant cells during hysteroscopy in presumed early endometrial cancer . Gynecol Oncol . 2000;79:55–58
  6. Kadar N , Homesley HD , Malfetano JH . Positive peritoneal cytology is an adverse factor in endometrial carcinoma only if there is other evidence of extrauterine disease . Gynecol Oncol . 1992;46:145–149
  7. Leveque J , Goyat F , Dugast J , Loeillet L , Grall JY , Le Bars S . Value of peritoneal cytology after hysteroscopy in surgical stage I adenocarcinoma of the endometrium . Oncol Rep . 1998;5:713–715
  8. Isaacson K . Office hysteroscopy: a valuable but underutilized technique . Curr Opin Obstet Gynecol . 2002;14:381–385
  9. Malur S , Possover M , Michels W , Schneider A . Laparoscopicassisted vaginal versus abdominal surgery in patients with endometrial cancer—a prospective randomized trial . Gynecol Oncol . 2001;80:239–244
  10. Eltabbakh GH , Shamonki MI , Moody JM , Garafano LL . Laparoscopy as the primary modality for the treatment of women with endometrial carcinoma . Cancer . 2001;91:378–387
  11. Cho YH , Kim DY , Kim JH , Kim YM , Kim YT , Nam JH . Laparoscopic management of early uterine cancer: 10-year experience in Asan Medical Center . Gynecol Oncol . 2007;106:585–590
  12. Eltabbakh GH , Mount SL . Laparoscopic surgery does not increase the positive peritoneal cytology among women with endometrial carcinoma . Gynecol Oncol . 2006;100:361–364
  13. Wang PH , Yuan CC , Lee WL , Chin TW . Laparoscopic surgery for early-stage endometrial cancers . Gynecol Oncol . 2008;108:456–457 author reply 457–8.
  14. Eltabbakh GH , Shamonki MI , Moody JM , Garafano LL . Hysterectomy for obese women with endometrial cancer: laparoscopy or laparotomy? . Gynecol Oncol . 2000;78:329–335
  15. Lee CL , Huang KG . Prospect of laparoscopy in treating early stage cervical cancer . Taiwan J Obstet Gynecol . 2004;43:5–9
  16. Magrina JF , Weaver AL . Laparoscopic treatment of endometrial cancer: five-year recurrence and survival rates . Eur J Gynaecol Oncol . 2004;25:439–441
  17. Holub Z , Jabor A , Bartos P , Eim J , Urbanek S , Pivovarnikova R . Laparoscopic surgery for endometrial cancer: long-term results of a multicentric study . Eur J Gynaecol Oncol . 2002;23:305–310
  18. Eltabbakh GH . Analysis of survival after laparoscopy in women with endometrial carcinoma . Cancer . 2002;95:1894–1901
  19. Magrina JF , Mutone NF , Weaver AL , Magtibay PM , Fowler RS , Cornella JL . Laparoscopic lymphadenectomy and vaginal or laparoscopic hysterectomy with bilateral salpingooophorectomy for endometrial cancer: morbidity and survival . Am J Obstet Gynecol . 1999;181:376–381
  20. Obermair A , Manolitsas TP , Leung Y , Hammond IG , McCartney AJ . Total laparoscopic hysterectomy for endometrial cancer: patterns of recurrence and survival . Gynecol Oncol . 2004;92:789–793
  21. Tozzi R , Malur S , Koehler C , Schneider A . Laparoscopy versus laparotomy in endometrial cancer: first analysis of survival of a randomized prospective study . J Minim Invasive Gynecol . 2005;12:130–136
  22. Kalogiannidis I , Lambrechts S , Amant F , Neven P , Van Gorp T , Vergote I . Laparoscopy-assisted vaginal hysterectomy compared with abdominal hysterectomy in clinical stage I endometrial cancer: safety, recurrence, and long-term outcome . Am J Obstet Gynecol . 2007;196:248; e1–8.
  23. Magrina JF . Outcomes of laparoscopic treatment for endometrial cancer . Curr Opin Obstet Gynecol . 2005;17:343–346

PII: S1028-4559(09)60002-4

doi:10.1016/S1028-4559(09)60002-4

Taiwanese Journal of Obstetrics and Gynecology
Volume 47, Issue 4 , Pages 379-383, December 2008