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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 ...