Efficacy of sonohysterography and hysteroscopy for evaluation of endometrial lesions in tamoxifen treated patients: a systematic review

Abstract

Objective: This review aims to evaluate the incidence of endometrial lesions in tamoxifen-treated breast cancer patients identified by hysteroscopy (HS) and sonohysterography (SIS) and the diagnostic accuracy of the two methods to detect them. Methods: A systematic review of the literature concerning the role of HS and SIS for evaluation of the endometrium in tamoxifen-treated breast cancer patients was performed. We searched MEDLINE (PubMed), EMBASE, Cochrane Central Register of Controlled Trials, IBECS, BIOSIS, Web of Science, SCOPUS, congress abstracts, and Grey literature (Google Scholar; British Library). The search terms used were "hysteroscopy", "hysterosonography", "sonohysterography" combined with "tamoxifen"; 89 citations were identified and selected in the initial screening. Results: 28 studies were included in the systematic review. There were 61 citations excluded because they were review articles (n = 9) or case report (n = 5) and non-English articles (n = 8), and had too little information in the full text (n = 39). Similar accuracy between SIS and HS in detection of endometrial tamoxifen-related lesions was found. Conclusions: SIS may represent a minimally invasive, simple, safe, well-tolerated and cost-effective alternative to HS, associated with few contraindications and no potential complications.

Herlyn-Werner-Wunderlich syndrome and central placenta previa in a COVID-19 positive pregnant woman: a case report

“…Vaginal septotomy is considered the treatment of choice for obstructed hemivagina, traditionally performed using scissors and scalpel [24]. Hysteroscopy, in addition to being an important tool in many other conditions [25][26][27][28], may be used for the resection as a minimally invasive, short, and safe alternative to the conventional method [29][30][31]. However, pregnancy is possible even without any treatment [32].…”

Cesarean Scar Pregnancy and Successful Ultrasound-Guided Removal after Uterine Artery Ligation

“…A minimally invasive alternative for endogenic CSP treatment is transcervical resection by means of hysteroscopy [13]. In addition to other functions [14], hysteroscopy allows fast recovery, short follow-up, and a rapid decline of β-hCG to normal values [13]. However, hysteroscopic removal using a resector has a higher risk of bleeding, resulting in a more likely need to resort to hemostasis via electrocoagulation [13].…”

Hysteroscopic Findings and Operative Treatment: All at Once?

“…Hysteroscopic polypectomy has low complication and recurrence rates, and it is cost-effective. Moreover, it is technically feasible for practicing gynecologists who do not need much training [ 25 , 26 ].…”