Factors influencing the detection of uterine cancer by suction curettage and endometrial brushing

Grace C.H. Yang, Livia S. Wan, Giuseppe Del Priore

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

OBJECTIVE: To analyze the factors that influence the detection of uterine cancers by Pipelle® and Tao Brush™ endometrial sampling devices. STUDY DESIGN: Seventy-nine Pipelle® currettages were followed by Tao Brush™ sampling. The curettage specimens were fixed in formalin for histology and reported by surgical pathology, whereas the Tao Brush™ specimens were fixed in CytoRich Red® for histology and cytology and reported by cytopathology. Uterine size and features of residual tumors were obtained from hysterectomy reports. Follow-up for clinically benign cases ranged from 16 to 52 months (mean, 33.7; median, 34). RESULTS: There were 10 uterine cancers and 9 hysterectomies. Five cases of centrally located adenocarcinoma, ranging from 0.4 to 3 cm, were detected by both samplers. Additionally, a Tao Brush™ sampled an adenocarcinoma located near the cornu. An endometrial stromal sarcoma found with a Tao Brush™ was reported as necrotic tissue by Pipelle®. Both samplers missed a microscopic focus of adenocarcinoma, an in situ adenocarcinoma in a polyp and a large leiomyosarcoma. CONCLUSION: The size and type of tumor and its location within the uterine cavity, the mechanism of sampling and preparation method influence the detection of uterine cancer by the Pipelle® and Tao Brush™.

Original languageEnglish (US)
Pages (from-to)1005-1010
Number of pages6
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume47
Issue number12
StatePublished - Dec 1 2002

Keywords

  • Endometrial cancer
  • Pipelle®
  • Sampling studies
  • Tao Brush™

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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