The importance of peritoneal cytology in endometrial carcinoma

Victor R. Harouny, Gregory P. Sutton, Stephen A. Clark, Hans E. Geisler, Frederick B. Stehman, Clarence E. Ehrlich

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66 Scopus citations


From 1971-1986, peritoneal washings were obtained for cytologic examination at the time of primary exploratory laparotomy in 340 patients with endometrial adenocarcinoma. Seventy-two samples (21.2%) contained malignant cells. The finding of malignant cytology increased with stage of disease: Stage I, 17%; stage II, 19.5%; stage III, 68.7%; and stage IV, 85.7% (P<.001). In 248 patients with clinical stage I disease for whom uterine evaluation was complete, there was an increasing incidence of malignant cytology with increasing grade (P=.002), depth of myometrial invasion (P=.003), and adnexal spread (P<.001). Twelve of 41 patients (29.3%) with clinical stage I and positive cytology developed recurrent disease, compared with six of 207 (2.9%) with negative cytology (P<.001). Survival for all stages together was poorer in patients with positive washings than in those with negative washings (P<.001). This difference in survival was also observed in patients with clinical stage I disease (P<.001). Among patients with surgical stage I disease, disease-free survival was also superior in the group with negative cytology. In both clinical and surgical stage I, intra-abdominal recurrences were more common among patients with malignant peritoneal cytology.

Original languageEnglish (US)
Pages (from-to)394-398
Number of pages5
JournalObstetrics and gynecology
Issue number3
StatePublished - Sep 1988

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Harouny, V. R., Sutton, G. P., Clark, S. A., Geisler, H. E., Stehman, F. B., & Ehrlich, C. E. (1988). The importance of peritoneal cytology in endometrial carcinoma. Obstetrics and gynecology, 72(3), 394-398.