TUMOR-CELL SPREAD VIA HYSTEROSCOPY

154 patients suffering from endometrial carcinoma who underwent CO2-hy steroscopy pretherapeutically, were examined as to whether hysteroscop y lead to tumour cell spread to the peritoneal cavity and worsened the prognosis of the patients. For that purpose, both fallopian tubes of 118 women were investigated thoroughly by histology for intratubarian spread of tumourous cells. Only in one of the 118 patients a single tu mour cell complex was detected inside the ampullar part of a fallopian tube. Comparing the investigated patients with data from the literatu re in terms of five-year survival rates and frequency of relapses, our collective showed the same outcome as those from the literature. Thes e results prove, that the prognosis of endometrial carcinoma is not wo rsened by CO2-hysteroscopy.