ABSTRACT
We studied the correlation between preoperative cervical cytology, postoperative clinicopathologic findings, and sites of metastasis from 50 surgically staged patients with endometrial carcinoma Thirty-four patients [68%], had normal cervical cytology, and 16 [32%] had malignant preoperative cervical cytology. Malignant cervical smears were statistically correlated with surgical stage [P = 0.001], histopathology [P =0.010], tumor grade [P = 0.012]. depth of myometrial tumor invasion [P = 0.001], cervical involvement [P = 0.01], lymph node metastases [P = 0.002], and andexal metastases [P = 0.012]. Our study indicates that positive preoperative cervical cytology itself does not appear to be an independent prognostic factor and probably should not influence treatment decisions in endometrial cancer