Primary in situ fallopian tube carcinoma are rarely diagnosed, and malignant cells from this lesion have not been previously described as occurring in endometrial smears. A 57-year old, postmenopausal woman had an endometrial smear that revealed adenocarcinoma cells associated with psammoma bodies. She also had smooth muscle cells in the smear compatible with uterine leiomyomas. Examination of the hysterectomy specimen disclosed a primary in situ carcinoma of the left fallopian tube and uterine leiomyomatosis.
Endometrial cytology plays an importand role in the diagnosis of pathologic processes in the uterus.
Rio Grande do Sul, Brasil. Sampling was performed on 1,684 women. All patients underwent subsequent histology . In eigth cases with overly thick smears the original smears were restained to allow confocal microcopy. Efficacy was high, with 1,593 good samples.