The diagnostic value of cystoscopy and intravenous pyelography in endometrial carcinoma

✍ Scribed by J. Dietl; E. Klapper

• Publisher: Springer
• Year: 1993
• Tongue: English
• Weight: 541 KB
• Volume: 4
• Category: Article
• ISSN: 0937-3462
• DOI: 10.1007/bf00372803

✦ Synopsis

The diagnostic value of cystoscopy and intravenous pyelography in the staging of carcinoma of the corpus uteri was evaluated in a retrospective study of 218 patients. The primary treatment in all patients was surgical. Cystoscopy was performed preoperatively in 71 (33%) of the patients and postoperatively in 90 (41%); 57 (26%) patients were not subjected to this investigation. Intravenous pyelography was performed in 95 (44%) of the patients and postoperatively in 70 (32%); 53 (24%) patients were not subjected to this investigation. In no patient did cystoscopy reveal invasion of the bladder by tumor. In one patient with a stromal sarcoma (stage IV), there was no flow of dye through the ureteral orifices. Intravenous pyelography revealed unilateral ureteral obstruction in one case of stromal sarcoma (stage III) and complete bilateral ureteral obstruction in another case (stage IV). These findings show that cystoscopy and intravenous pyelography are unnecessary in carcinoma of the corpus uteri at stages I and II, and that in stages III and IV the necessity for these investigations should be considered for each patient on an individual basis.