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Routine CT not cost effective prior to laparotomy.(Gynecology)

OB GYN News

| June 15, 2006 | Schneider, Mary Ellen | COPYRIGHT 2006 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

WASHINGTON -- Performing a routine CT scan before staging laparotomy in patients with endometrial cancer may be an unnecessary expense, regardless of the histology, grade, or stage of the cancer, researchers reported in a poster presented at the annual meeting of the American College of Obstetricians and Gynecologists.

Dr. Sean Rosenbaum and his colleagues at the John Peter Smith Hospital in Fort Worth, Texas, conducted a retrospective review of 103 patients with endometrial cancer who were being managed by a gynecologic oncologist.

They compared the normal, abnormal, and incidental findings from the CT scan to surgical findings, histology, and grade.

Of the 64 patients who had a preoperative CT scan of the abdomen and pelvis, the histology included 46 adenocarcinomas, 2 adenosquamous carcinomas, 3 adenosarcomas, 11 papillary squamous or clear cell carcinomas, and 2 squamous cell carcinomas. In addition, 45 patients ...

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