Accuracy of Hysteroscopy in Predicting Histopathology of Endometrium in 1500 Women

Garuti, Giancarlo; Sambruni, Ivan; Colonnelli, Monica; Luerti, Massimo

doi:10.1016/s1074-3804(05)60579-8

Cited by 114 publications

(76 citation statements)

References 13 publications

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“…The three suspected cases were not confirmed and 12 cases occurred without hysteroscopic suspicion. Several studies evaluated the accuracy of hysteroscopy in the diagnosis of endometrial hyperplasia [14][15][16][17][18][19] and all of them emphasize the lack of precise hysteroscopic criteria for hyperplasia diagnosis. In fact, our results probably underline this aspect.…”

Section: Discussionmentioning

confidence: 99%

Office Hysteroscopy After Ultrasonographic Diagnosis of Thickened Endometrium in Postmenopausal Patients

Cordeiro

Condeço

Leitão

et al. 2010

Obstetrical &Amp; Gynecological Survey

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The aim of our study was to access office hysteroscopy results in postmenopausal patients with thickened endometrium. A retrospective descriptive study was carried out on 245 postmenopausal patients submitted to office hysteroscopy after sonographic diagnosis of thickened endometrium in 20 consecutive months. Women were evaluated for age, hormonal therapy, hysteroscopic findings, procedure duration, complications and associated pain, and histological diagnosis. Patients with and without uterine bleeding were considered separately. Symptomatic patients were older and had longer procedure duration. The most frequent hysteroscopic finding was endometrial polyp in both groups. Pain was subjectively assessed in a numeric scale from 0 to 10 and median value was 4. There were no complications reported. Global neoplasia rate was 2.9% for asymptomatic patients and 16.4% for symptomatic ones (p<0.05). Thickened endometrium with postmenopausal metrorrhagia gave patients a significantly higher risk for neoplasia and hyperplasia.

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Section: Discussionmentioning

confidence: 99%

Office Hysteroscopy After Ultrasonographic Diagnosis of Thickened Endometrium in Postmenopausal Patients

Cordeiro

Condeço

Leitão

et al. 2010

Obstetrical &Amp; Gynecological Survey

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“…Destacamos la histeroscopia como el actual estándar dorado dada su alta sensibilidad y especificidad (95%) en el diagnóstico de los pólipos endometriales (17).…”

Section: Discussionunclassified

Pólipos Endometriales: Manejo Con Histeroscopia Quirúrgica Y Correlación Histológica

C³

et al. 2007

Rev. chil. obstet. ginecol.

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INTRODUCCIÓNLos pólipos endometriales (PE) corresponden a crecimientos hiperplásticos localizados de las glán-dulas y del estroma endometrial, que forman una proyección sésil o pediculada desde la superficie del endometrio. Los pólipos únicos o múltiples, pueden medir desde algunos milímetros a varios centímetros. Son raros en mujeres menores de 20 años. La incidencia aumenta directamente con la edad, siendo mayor en la quinta década de la vida y declina gradualmente después de la menopausia. En mujeres histerectomizadas o en biopsia endometrial, la prevalencia es de 10 a 24%. Los RESUMENSe presenta la experiencia quirúrgica en 160 pacientes con diagnóstico ecográfico de pólipo endometrial. Se evalúan las características epidemiológicas, clínicas y la correlación histológica. La edad promedio fue de 50 años, se analizaron las variables diferenciándolas en premenopáusicas o post menopáusicas, y presencia de síntomas. En todos los subgrupos la incidencia fue igualmente alta para los pólipos endometriales, seguida en frecuencia por los leiomiomas, hiperplasia endometrial y endometrio proliferativo, entre otros. Se encontraron 3 casos de adenocarcinoma endometrial, todos en el subgrupo de las pacientes postmenopáusicas sintomáticas. El procedimiento fue bien tolerado, y sin complicaciones. Destacamos a la histeroscopia como el estándar dorado por su alta sensibilidad y especificidad en el diagnóstico de pólipo endometrial. PALABRAS CLAVE: Histeroscopia, pólipos endometriales SUMMARYThe surgical experience in 160 patients with echographic diagnostic of endometrial polyps, are analyzed. Clinical and pathological characteristics are evaluated. The patient average age was 50 years old; variables were analyzed differentiating them in pre menopausal or post menopausal, according to the presence of symptoms. In all sub-groups the incidence was equally high for the endometrial polyps, followed in frequency by leiomyomas, endometrial hyperplasia and endometria proliferative among others. Three cases of endometrial adenocarcinoma were found, all in the sub-group of the symptomatic post menopausal patients. The procedure was well tolerated, without complications. We emphasized the hysteroscopy procedure as the gold standard by its high sensitivity and specificity in the endometrial polyp diagnosis.

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“…Hysteroscopy is considered to be the best technique for examination of the uterine cavity (14,15) and many studies comparing hysteroscopy and histology have shown that hysteroscopy has a higher correct diagnostic rate for abnormal lesions in the uterine cavity and endometrial cancer (16)(17)(18). However, Lasmar et al (19) found that the sensitivities of hysteroscopy with white light for diagnosis of endometrial hyperplasia and endometrial cancer were 56.3% and 80.0%, respectively, and suggested that visual identification based on morphological changes in an endometrial lesion were inadequate and could be subjective, indicating the need for pathological examination for diagnosis of endometrial lesions (20).…”

Section: Use Of Nbi In Gynecologymentioning

confidence: 99%

Narrow band imaging in gynecology: A new diagnostic approach with improved visual identification (Review)

Kisu

Banno

Tsuji³

et al. 2011

Int J Oncol

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Abstract. Narrow band imaging (NBI) is a new endoscopic technique in which images of mucosal microstructures and capillary structures are enhanced by shifting the light spectrum to a narrow band. Image-enhanced gastrointestinal endoscopy using NBI has improved the qualitative diagnosis of the grade and depth of invasion of an atypical lesion. NBI is currently not commonly used in gynecological endoscopy, but has recently been applied in laparoscopy and hysteroscopy. The utility of NBI for diagnosis of endometrial lesions and endometriosis has also been shown. In gynecological endoscopy, NBI provides enhanced images of mucosal microstructures and capillary structures and improves visual identification of lesions. Therefore, image-enhanced observation using NBI is likely to be useful for improved detection of lesions in endoscopic diagnosis. However, this technique remains experimental so far, and no study has demonstrated improved clinical outcome using this technique. In this review, we discuss the utility and potential applications of NBI in clinical practice in gynecology.

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Accuracy of Hysteroscopy in Predicting Histopathology of Endometrium in 1500 Women

Cited by 114 publications

References 13 publications

Office Hysteroscopy After Ultrasonographic Diagnosis of Thickened Endometrium in Postmenopausal Patients

Office Hysteroscopy After Ultrasonographic Diagnosis of Thickened Endometrium in Postmenopausal Patients

Pólipos Endometriales: Manejo Con Histeroscopia Quirúrgica Y Correlación Histológica

Narrow band imaging in gynecology: A new diagnostic approach with improved visual identification (Review)

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