PREOPERATIVE CERVICAL CYTOLOGY IN ENDOMETRIAL CARCINOMA

Abstract

 Wc studied the correlation between preoperative cervical cytology, postoperative clinicopathologic findings, and sites of metastasis from SO surgically staged patients with endometrial carcinoma Tliirty-faur patients (68%), liad normal cervical cytology, ami 16(32%) had malignant preoperative cervical cytology. Malignant cervical smears were statistically correlated with surgical stage (P = 0.001), histopathology (P =0.010), tumor grade (P = 0.012), depth of myomctrial tumor invasion (P = 0.001), cervical involvement (P - 0.01), lymph node metastases (P = 0.002), and andcxal metastases (P = 0.012). Our study imiicatcs that positive preoperative cervical cytology itself docs not appear to be an independent prognostic factor and probably shouhl not influence treatment decisions in endometrial cancer.