Article Text

Download PDFPDF
Omentectomy, peritoneal biopsy and appendectomy in patients with clinical stage I endometrial carcinoma
  1. U. Saygili1,
  2. S. Kavaz1,
  3. S. Altunyurt1,
  4. T. Uslu1,
  5. M. Koyuncuoglu2 and
  6. O. Erten1
  1. 1Department of Obstetrics and Gynecology and
  2. 2Department of Pathology, Dokuz Eylul University Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
  1. Address correspondence and reprint requests to: Dr. U. Saygili, Dokuz Eylül Üniversitesi Tip Fakültesi Hast, Kadin Hastaliklari ve Dogum ABD, 35340-Inciralti Izmir, Turkey. E-mail: saygiliu{at}


The aim of this study was to evaluate whether omentectomy, appendectomy, and peritoneal biopsy should be a routine part of staging surgery in endometrial carcinoma. Data of 97 patients who had been diagnosed with clinical stage I endometrial carcinoma were reviewed. Associations in the data obtained, pelvic and para-aortic lymph node status, depth of myometrial invasion, grade, and histology were investigated. The chi-square (χ2) test was used for statistical analysis.

Of 97 patients, six (6%) had omental metastases, which was microscopic in four. There was a statistically significant relationship between omental metastasis and tumor grade (P < 0.01). Deep myometrial invasion was significantly more common in patients with omental metastases. Tumor was found in one of 55 appendectomy specimens (2%). Omentectomy may be included in surgical staging in patients with deeply invasive or grade 3 endometrial cancer because of the possibility of omental metastasis in spite of what appears to be stage I disease in laparotomy. In other cases, omentectomy and appendectomy and biopsies from peritoneal sites should be performed in the presence of grossly suspicious disease.

  • appendectomy
  • endometrial carcinoma
  • omentectomy

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.