Annals of diagnostic pathology · 2015
Adequacy of cervical sampling in hysterectomy specimens for endometrial cancer.
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Syed Sheeba, Reed Nick, Millan David
Аннотация
AIM: To determine whether sampling one section, which includes the anterior and posterior cervical lips in hysterectomy specimens, provides the best prospect for detecting stromal invasion in hysterectomy specimens for endometrial cancers.
METHODS: To assess the most likely section in which cervical stromal invasion was identified in 29 cases.
RESULTS: Cervical stromal invasion was detected in first section in 75.8% cases, whereas 24.1% detected in random sections other than first section.
CONCLUSION: Cervical stromal invasion is most likely to be identified in one section taken in the midline, which includes anterior and posterior lips. However, in a significant number of cases, this one section missed invasion, which was detected in other random cervical sections. Therefore, sampling of one block (anterior and posterior) from the cervix is insufficient for detecting cervical stromal invasion for endometrial cancer.
METHODS: To assess the most likely section in which cervical stromal invasion was identified in 29 cases.
RESULTS: Cervical stromal invasion was detected in first section in 75.8% cases, whereas 24.1% detected in random sections other than first section.
CONCLUSION: Cervical stromal invasion is most likely to be identified in one section taken in the midline, which includes anterior and posterior lips. However, in a significant number of cases, this one section missed invasion, which was detected in other random cervical sections. Therefore, sampling of one block (anterior and posterior) from the cervix is insufficient for detecting cervical stromal invasion for endometrial cancer.