[Panoramic hysteroscopy in prophylaxis of precancerous lesions and endometrial carcinoma].

Abstract:

OBJECTIVES:The purpose of the study was to check the conformity of diagnosis based on macroscopic hysteroscopy image with the respective pathology report. MATERIALS AND METHODS:Study population consisted of 160 patients aged 45-86 years, with abnormal uterine bleeding or abnormal ultrasonographic image of endometrium. In all cases pelvic sonography and hysteroscopy were performed. RESULTS:Abnormal findings were detected hysteroscopically in 123 cases out of 160 hysteroscopies performed. Hysteroscopic diagnosis was confirmed by pathological examination in 100 cases (81.3%). The conformity of hysteroscopic image with the pathology report varied in different lesions, amounting to 90.9% in cases of submucosus myomas, 86.9% in endometrial polyps, 25.0% in endometrial hyperplasia and 71.42% in cases of endometrial carcinoma. CONCLUSIONS:1. Hysteroscopic features are in high agreement with pathology report with reference to endometrial cancer, endometrial polyps and submucosus myomas. 2. Hysteroscopy does not seem to be a satisfactory tool for the differentiation between endometrial hyperplasia and endometrial carcinoma.

journal_name

Ginekol Pol

journal_title

Ginekologia polska

authors

Bedner R,Rzepka-Górska I

keywords:

subject

Has Abstract

pub_date

2001-12-01 00:00:00

pages

1423-8

issue

12A

eissn

0017-0011

issn

2543-6767

journal_volume

72

pub_type

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