The oncological safety of hysteroscopy in the diagnosis of early-stage endometrial cancer: An Israel gynecologic oncology group study

Ahmet Namazov, Ofer Gemer, Limor Helpman, Nasreen Hag-Yahia, Ram Eitan, Oded Raban, Zvi Vaknin, Sophia Leytes, Ofer Lavie, Amnon Amit, Tally Levy, Michael Volodarsky, Inbar Ben Shachar, Ilan Atlas, Ilan Bruchim, Alon Ben-Arie

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To compare survival measures of women with early-stage endometrial cancer who underwent either hysteroscopy or a non-hysteroscopic procedure as a diagnostic procedure. Study design: An Israel Gynecologic Oncology Group multicenter study of 1324 patients with stage I endometrial cancer who underwent surgery between 2002 and 2014. Patients were divided into two groups: hysteroscopy and non-hysteroscopy (curettage or office endometrial biopsy). Clinical, pathological, and survival measures were compared between the groups. Results: There were 355 patients in the hysteroscopy group and 969 patients in the non-hysteroscopy group. The median follow-up was 52 months (range 12–120 months). There were no differences between the groups in the 5-year recurrence-free survival (90.2% vs. 88.2%; p = 0.53), disease-specific survival (93.4% vs. 91.7%; p = 0.5), and overall survival (86.2% vs. 80.6%; p = 0.22). Conclusion: Our findings affirm that hysteroscopy does not compromise the survival of patients with early-stage endometrial cancer.

Original languageEnglish
Pages (from-to)120-124
Number of pages5
JournalEuropean Journal of Obstetrics, Gynecology and Reproductive Biology
Volume243
DOIs
StatePublished - Dec 2019

Keywords

  • Early stage
  • Endometrial cancer
  • Hysteroscopy
  • Survival

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