Omentectomy, peritoneal biopsy and appendectomy in patients with clinical stage I endometrial carcinoma

• Published in: International journal of gynecological cancer Vol. 11; no. 6; pp. 471 - 474
• Main Authors: Saygili, U., Kavaz, S., Altunyurt, S., Uslu, T., Koyuncuoglu, M., Erten, O.
• Format: Journal Article
• Language: English
• Published: Boston, MA, USA Blackwell Science Inc 01.11.2001
• Subjects: appendectomy; endometrial carcinoma; omentectomy
• ISSN: 1048-891X; 1525-1438
• DOI: 10.1046/j.1525-1438.2001.01065.x

. Saygili U, Kavaz S, Altunyurt S, Uslu T, Koyuncuoglu M, Erten O. Omentectomy, peritoneal biopsy, and appendectomy in patients with clinical stage I endometrial carcinoma. The aim of this study was to evaluate whether omentectomy, appendectomy, and peritoneal biopsy should be a routine part of staging surgery in endometrial carcinoma. Data of 97 patients who had been diagnosed with clinical stage I endometrial carcinoma were reviewed. Associations in the data obtained, pelvic and para‐aortic lymph node status, depth of myometrial invasion, grade, and histology were investigated. The chi‐square (χ2) test was used for statistical analysis. Of 97 patients, six (6%) had omental metastases, which was microscopic in four. There was a statistically significant relationship between omental metastasis and tumor grade (P < 0.01). Deep myometrial invasion was significantly more common in patients with omental metastases. Tumor was found in one of 55 appendectomy specimens (2%). Omentectomy may be included in surgical staging in patients with deeply invasive or grade 3 endometrial cancer because of the possibility of omental metastasis in spite of what appears to be stage I disease in laparotomy. In other cases, omentectomy and appendectomy and biopsies from peritoneal sites should be performed in the presence of grossly suspicious disease.