Abstract
Objective : We studied the availability of the endometrial smear test to diagnosis of the fallopian tube carcinoma.
Study Design : We examined the clinical features, cytology, and histology in 17 cases of resected primary fallopian tube carcinoma.
Results : The FIGO classification was three at IC, two at IIB, two at IIC, eight at IIIC, and two at IV. All five cases with positive endometrial smear were stageIII or stageIV cases and cervical smears were also positive in three of those five cases. Of five patients with ascites, endometrial smears were positive in four. On the other hand, of nine patients without ascites, the endometrial smear was positive in only one case. Of six patients in whom the tumor diameter was 35 mm or less, endometrial smears were positive in five, and of eight cases in whom the tumor diameter was greater than 35 mm, none of the endometrial smears was positive.
Conclusions : The rate of positive endometrial smears of primary fallopian tube carcinoma was 35.7% (5/14). Tumor diameter, ascites and stage were thought to be the factors that were related to endometrial smear positivity.
