Positive cytology endometrial cancer

  • How do you confirm endometrial cancer?

    Endometrial biopsy: When a small tissue sample is taken from the inner lining of the uterus.
    A thin tube is inserted through the cervix into the uterus, and a sample is gently scraped off for examination under a microscope.
    This is done to see if cancer or other abnormal cells are present..

  • How do you grade endometrial cancer?

    In higher-grade cancers (grade 3), more of the cancer cells are disorganized and do not form glands.

    1. Grade 1 tumors have 95% or more of the cancer tissue forming glands
    2. Grade 2 tumors have between 50% and 94% of the cancer tissue forming glands
    3. Grade 3 tumors have less than half of the cancer tissue forming glands

  • How is endometrial cancer diagnosed?

    Endometrial biopsy: When a small tissue sample is taken from the inner lining of the uterus.
    A thin tube is inserted through the cervix into the uterus, and a sample is gently scraped off for examination under a microscope.
    This is done to see if cancer or other abnormal cells are present..

  • What does ER positive mean in endometrial cancer?

    The positivity of estrogen receptor (ER) and progesterone receptor (PR) is positively associated with the prognosis of endometrial cancer, including the survival rate and survival time [13, 14].
    ER or PR positive in endometrium is also associated with the hormonal treatment in endometrial cancer [15]..

  • What hormone receptors are positive in endometrial cancer?

    The positivity of estrogen receptor (ER) and progesterone receptor (PR) is positively associated with the prognosis of endometrial cancer, including the survival rate and survival time [13, 14].
    ER or PR positive in endometrium is also associated with the hormonal treatment in endometrial cancer [15]..

  • What is endometrial cytology used to identify?

    Endometrial cytology is often compared with histology and seems to be an efficient method for the diagnosis of endometrial disorders, especially endometrial cancer.
    We report a case of misdiagnosed endometrial cancer by D&C, but with a positive cytopathological finding..

  • CA-125 blood test.
    CA-125 is a substance released into the bloodstream by many, but not all, endometrial and ovarian cancers.
    If a woman has endometrial cancer, a very high blood CA-125 level suggests that the cancer has likely spread beyond the uterus.
    Some doctors check CA-125 levels before surgery or other treatment
  • Common signs of endometrial cancer recurrence include vaginal bleeding, changes in bowel or bladder habits, abdominal pain, bloating, shortness of breath, nausea or vomiting.
    After a patient completes her first round of treatment, a physician will usually monitor her carefully for uterine cancer recurrence.
  • The positivity of estrogen receptor (ER) and progesterone receptor (PR) is positively associated with the prognosis of endometrial cancer, including the survival rate and survival time [13, 14].
    ER or PR positive in endometrium is also associated with the hormonal treatment in endometrial cancer [15].
Oct 9, 2022Patients with positive peritoneal cytology for endometrial cancer have a high risk of recurrence, regardless of histopathologic type or FIGO  IntroductionsMethodsResultsDiscussion
Patients with positive peritoneal cytology for endometrial cancer have a high risk of recurrence, regardless of histopathologic type or FIGO stage. Peritoneal cytology has already been removed from the 2009 FIGO classification of endometrial cancer, but it may deserve reconsideration.
Patients with positive peritoneal cytology for endometrial cancer have a high risk of recurrence, regardless of histopathologic type or FIGO stage.

Do cytology results increase the risk of false-negative endometrial cancer?

The identification of patient, tumour and test parameters that increase the risk of false-negative cytology results must now be prioritized to establish the diagnostic limitations of this endometrial cancer detection tool

Does positive peritoneal cytology affect the prognosis of Stage IA endometrial cancer?

This study evaluated the influence of positive peritoneal cytology (PPC) on the prognosis of patients with stage IA endometrial cancer, and the usefulness of adjuvant chemotherapy in their treatment

We retrospectively analyzed the data of patients with stage IA endometrial cancer admitted in our hospital between 2005 and 2015

Should early endometrial cancer be treated with positive cytology?

Given that early endometrial cancer with positive cytology is a common clinical dilemma, we suggest the consideration of a collaborative randomized trial of women with stage I/II low-grade endometrioid adenocarcinoma and positive cytology comparing adjuvant treatment vs no treatment

Suspicious positive peritoneal cytology may be an independent risk factor for endometrial cancer. The positive rate of peritoneal tumor cells in type II endometrial cancer is higher than other cells and is an independent risk factor for type II endometrial cancer.An estimated 11% of patients undergoing staging for endometrial cancer will have positive peritoneal cytology, most commonly in the presence of extra-uterine disease.2 The prognostic significance of isolated positive cytology in the absence of extra-uterine disease is controversial.

Positive peritoneal cytology (PPC) is of prognostic significance in patients with advanced-stage endometrial cancer that spreads to the adnexa, lymph nodes (LN) or peritoneum ( 1 ). However, the prognostic significance of isolated PPC in patients with early-stage endometrial cancer (EEC, Stage 1 or 2) is controversial ( 2–6 ).

Despite all previous investigations, the role of positive peritoneal cytology in endometrial cancer staging is still a matter of debate, and excluding positive peritoneal cytology from the staging system may mislead prognosis estimations in these patients, resulting in under treatment and an increasing mortality rate (11).

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