Evaluation of the Risk of Spreading Endometrial Cell by Hysteroscopy: A Prospective Longitudinal Study

Objective. The aim was to assess the intraperitoneal spread of endometrial cells during hysteroscopy. Study Design. Seventy-six women were submitted to a hysteroscopy with CO2 under a low pressure. Group 1 had not previous diagnosis of endometrial cancer, and group 2 had previous diagnosis of endome...

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Main Authors: Rievani de Sousa Damião, Reginaldo Guedes Coelho Lopes, Emilly Serapião dos Santos, Umberto Gazzi Lippi, Eduardo Borges da Fonseca
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2009/397079
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author Rievani de Sousa Damião
Reginaldo Guedes Coelho Lopes
Emilly Serapião dos Santos
Umberto Gazzi Lippi
Eduardo Borges da Fonseca
author_facet Rievani de Sousa Damião
Reginaldo Guedes Coelho Lopes
Emilly Serapião dos Santos
Umberto Gazzi Lippi
Eduardo Borges da Fonseca
author_sort Rievani de Sousa Damião
collection DOAJ
description Objective. The aim was to assess the intraperitoneal spread of endometrial cells during hysteroscopy. Study Design. Seventy-six women were submitted to a hysteroscopy with CO2 under a low pressure. Group 1 had not previous diagnosis of endometrial cancer, and group 2 had previous diagnosis of endometrial cancer (stage I-92.3%). Two peritoneal washing samples were taken before (PW1) and immediately after (PW2) the procedure. The dissemination for the peritoneal cavity was defined by the presence of endometrial cells in the PW2; such cells should be absent in WP1. Results. Four patients were excluded for presenting endometrial cells in PW1. In the 72 patients left, there was no passage of cells for the peritoneal cavity. In group 1, 88% presented secretory endometrial phase with correlation of 80% between hysteroscopy and biopsy. Conclusion. Hysteroscopy performed under a low pressure of CO2 does not cause spreading of endometrial cells into the peritoneal cavity.
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series Obstetrics and Gynecology International
spelling doaj-art-47099f92edff498cb3865bc4d514b4b92025-02-03T01:02:25ZengWileyObstetrics and Gynecology International1687-95891687-95972009-01-01200910.1155/2009/397079397079Evaluation of the Risk of Spreading Endometrial Cell by Hysteroscopy: A Prospective Longitudinal StudyRievani de Sousa Damião0Reginaldo Guedes Coelho Lopes1Emilly Serapião dos Santos2Umberto Gazzi Lippi3Eduardo Borges da Fonseca4Departamento de Obstetrícia e Ginecologia, Hospital do Servidor Publico Estadual, “Francisco Morato de Oliveira”, Rua Pedro de Toledo 1800, 04039-901 São Paulo, SP, BrazilDepartamento de Obstetrícia e Ginecologia, Hospital do Servidor Publico Estadual, “Francisco Morato de Oliveira”, Rua Pedro de Toledo 1800, 04039-901 São Paulo, SP, BrazilDepartamento de Obstetrícia e Ginecologia, Hospital do Servidor Publico Estadual, “Francisco Morato de Oliveira”, Rua Pedro de Toledo 1800, 04039-901 São Paulo, SP, BrazilDepartamento de Obstetrícia e Ginecologia, Hospital do Servidor Publico Estadual, “Francisco Morato de Oliveira”, Rua Pedro de Toledo 1800, 04039-901 São Paulo, SP, BrazilDepartamento de Obstetrícia e Ginecologia, Hospital do Servidor Publico Estadual, “Francisco Morato de Oliveira”, Rua Pedro de Toledo 1800, 04039-901 São Paulo, SP, BrazilObjective. The aim was to assess the intraperitoneal spread of endometrial cells during hysteroscopy. Study Design. Seventy-six women were submitted to a hysteroscopy with CO2 under a low pressure. Group 1 had not previous diagnosis of endometrial cancer, and group 2 had previous diagnosis of endometrial cancer (stage I-92.3%). Two peritoneal washing samples were taken before (PW1) and immediately after (PW2) the procedure. The dissemination for the peritoneal cavity was defined by the presence of endometrial cells in the PW2; such cells should be absent in WP1. Results. Four patients were excluded for presenting endometrial cells in PW1. In the 72 patients left, there was no passage of cells for the peritoneal cavity. In group 1, 88% presented secretory endometrial phase with correlation of 80% between hysteroscopy and biopsy. Conclusion. Hysteroscopy performed under a low pressure of CO2 does not cause spreading of endometrial cells into the peritoneal cavity.http://dx.doi.org/10.1155/2009/397079
spellingShingle Rievani de Sousa Damião
Reginaldo Guedes Coelho Lopes
Emilly Serapião dos Santos
Umberto Gazzi Lippi
Eduardo Borges da Fonseca
Evaluation of the Risk of Spreading Endometrial Cell by Hysteroscopy: A Prospective Longitudinal Study
Obstetrics and Gynecology International
title Evaluation of the Risk of Spreading Endometrial Cell by Hysteroscopy: A Prospective Longitudinal Study
title_full Evaluation of the Risk of Spreading Endometrial Cell by Hysteroscopy: A Prospective Longitudinal Study
title_fullStr Evaluation of the Risk of Spreading Endometrial Cell by Hysteroscopy: A Prospective Longitudinal Study
title_full_unstemmed Evaluation of the Risk of Spreading Endometrial Cell by Hysteroscopy: A Prospective Longitudinal Study
title_short Evaluation of the Risk of Spreading Endometrial Cell by Hysteroscopy: A Prospective Longitudinal Study
title_sort evaluation of the risk of spreading endometrial cell by hysteroscopy a prospective longitudinal study
url http://dx.doi.org/10.1155/2009/397079
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