Adequacy of cervical sampling in hysterectomy specimens for endometrial cancer.

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.