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Abstract
ABSTRACT Background and aim: The objective of this study was to evaluate the relationship between preoperative cervical cytology and clinicopathologic factors associated with prognosis in endometrial carcinoma. Methods: We reviewed all Pap smears and histologic sections from 108 patients who underwent hysterectomy for endometrial carcinomas. Abnormal cervical cytology was defined as the presence of atypical cells and malignancy. Results: Forty‐one patients (38%) had abnormal cervical cytology on preoperative Pap smears, and 67 patients (62%) had normal cytology. Abnormal cervical cytology was statistically correlated with higher FIGO grade, advanced FIGO stage, myometrial invasion, lymphovascular invasion, cervical involvement, polypoid growth pattern, non‐endometrioid histology, and tumor size. Tumor grade, stage, histologic type, cervical involvement, lymph node metastasis, and serosal involvement were associated with survival. Multivariate analysis showed that lymph node metastasis was related to survival. However, abnormal cervical cytology was not an independent prognostic indicator for survival. Conclusion: Abnormal preoperative cervical cytology is associated with poor prognostic factors. However, cervical cytology itself neither influences treatment decision nor predicts poor prognosis in endometrial carcinoma.
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