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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Language: | English |
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Wiley
2009-01-01
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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. |
format | Article |
id | doaj-art-47099f92edff498cb3865bc4d514b4b9 |
institution | Kabale University |
issn | 1687-9589 1687-9597 |
language | English |
publishDate | 2009-01-01 |
publisher | Wiley |
record_format | Article |
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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