Influence of omental biopsy on adjuvant treatment field in clinical Stage I endometrial carcinoma

In this study to assess the role of omental biopsy in the diagnosis of extrapelvic disease, data from 100 consecutive women with clinical Stage I endometrial cancer undergoing primary surgical treatment in our institution were analysed: 80 women had an omental biopsy, 20 did not, and six had adenoca...

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Published inBJOG : an international journal of obstetrics and gynaecology Vol. 109; no. 5; pp. 576 - 578
Main Authors Nieto, Jose J., Gornall, Robert, Toms, Ellen, Clarksono, Suzanne, Hogston, Patrick, Woolas, Robert P.
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Science Ltd 01.05.2002
Blackwell
Subjects
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Biological and medical sciences
Biopsy - methods
Endometrial Neoplasms - pathology
Endometrial Neoplasms - surgery
Female
Female genital diseases
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Omentum - pathology
Peritoneal Neoplasms - pathology
Peritoneal Neoplasms - surgery
Preoperative Care - methods
Prospective Studies
Tumors
Human
Relapse
Carcinoma
Adjuvant treatment
Omentum
Malignant tumor
Radiotherapy
Female genital diseases
Pathology
Clinical stage
Biopsy
Risk factor
Uterine diseases
Female
Diagnosis
Endometrium
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Summary:In this study to assess the role of omental biopsy in the diagnosis of extrapelvic disease, data from 100 consecutive women with clinical Stage I endometrial cancer undergoing primary surgical treatment in our institution were analysed: 80 women had an omental biopsy, 20 did not, and six had adenocarcinoma in the omentum. No obvious morbidity attributable to this rapid and easily performed surgical procedure was recorded. We conclude that visual inspection and palpation of the omentum at the time of abdominal surgery for endometrial carcinoma is worthwhile and advisable. In addition, adopting a protocol of histological assessment upstaged a further two cases of this series. These data suggest that this technique might influence the prescription of adjuvant pelvic radiation in approximately one in 10 women currently considered for such therapy, as disease can be easily documented as having extended beyond the conventional radiotherapy field.
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ISSN:1470-0328
1471-0528
DOI:10.1111/j.1471-0528.2002.01272.x