CORRELATION BETWEEN ENDOMETRIAL CELLS ON PAPANICOLAOU SMEAR AND ENDOMETRIAL CARCINOMA

Citation
Jt. Kerpsack et al., CORRELATION BETWEEN ENDOMETRIAL CELLS ON PAPANICOLAOU SMEAR AND ENDOMETRIAL CARCINOMA, Southern medical journal (Birmingham, Ala.), 91(8), 1998, pp. 749-752
Citations number
7
Categorie Soggetti
Medicine, General & Internal
ISSN journal
00384348
Volume
91
Issue
8
Year of publication
1998
Pages
749 - 752
Database
ISI
SICI code
0038-4348(1998)91:8<749:CBECOP>2.0.ZU;2-H
Abstract
Background. A retrospective study was done to assess the correlation b etween endometrial cells on routine cervical cytology and carcinoma of the endometrium. Methods.. In a 4-year period, endometrial cells of s ome type were identified on the Papanicolaou (Pap) smears of 61 women, of whom 52 had further diagnostic evaluation of the endometrium. Data were analyzed with a multivariate stepwise logistic regression. Resul ts. The results indicated an association of endometrial cells in Pap s mears with carcinoma of the endometrium in seven patients (13.5%). In 45 patients (86.5%), the final diagnosis was benign. Factors that impa cted the diagnosis of carcinoma were the findings of atypical or cance rous endometrial cells on Pap smear and abnormal vaginal bleeding. Con clusions. These data indicate the importance of further diagnostic eva luation with endometrial sampling in postmenopausal patients with endo metrial cells seen in Pap smears, especially those with abnormal bleed ing.