Value the peritoneal cytology after hysteroscopy in surgical stage I adenocarcinoma of the endometrium

Nineteen clinical stage I adenocarcinoma of the uterus with favourable hist ological prognosis factors (low grade, no myometrial extension, and no pelv ic node involvement) were diagnosed using a preoperative hysteroscopy. Duri ng the laparotomy; a peritoneal cytology was performed systematically The f requency of positive peritoneal washings was abnormally high (7 cases) with cytologic findings showing grouped cells in large clusters. However, these patients have not experienced peritoneal recurrences. The endoscopic proce dures may have facilitated the transtubal malignant cell dissemination and are questionable in front of endometrial carcinoma.