Zystoskopie und Rektoskopie in der präoperativen Ausbreitungsdiagnostik beim Endometriumkarzinom

Objective: Aim of the study was to evaluate the importance of cystoscopy and rectoscopy in the preoperative management of histologically confirmed endometrial cancer. Material und Methods: 1. A survey was carried out in all gynecological departments in Germany to find out whether cystoscopy and rectoscopy are routinely performed during the preoperative management of histologically confirmed endometrial cancer. 2. An evaluation was made of the cystoscopy and rectoscopy findings in 220 patients with endometrial cancer and compared with the surgical findings. Results: Neither carcinoma of the urinary bladder nor carcinoma of the rectum is frequently found as a secondary neoplasm to endometrial carcinoma. The percentage of urinary bladder or rectum infiltration is below I % when endometrial cancer is diagnosed first. Thus, these neoplasms are very rarely diagnosed using cystoscopy and rectoscopy at this point. 127 gynecological departments participated in the survey. The assessment of the relevance of cystoscopy and rectoscopy in the preoperative management of histologically confirmed endometrial cancer varied significantly between these clinics. Conclusion: Preoperative cystoscopy and rectoscopy should only be performed during the first diagnosis of endometrial carcinoma in cases where there is a well-founded suspicion of infiltration and in cases with FIGO stage III-IV.