Utilidad de la histeroscopia en el diagnóstico prequirúrgico de la invasión cervical por carcinoma de endometrio

Villegas, Isabel; Andı́a, Daniel; Rui-Wamba, M.J.; Rosa, J; Marques, Maria Consuelo Andrade

doi:10.1016/s0304-5013(04)76051-3

Cited by 2 publications

(2 citation statements)

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“…Our efforts in recent years have focused on combining hysteroscopy with directed biopsy for this purpose. We were surprised to find that only few studies have been published in this area, and the studies that did exist have used such small series (29)(30)(31) . We believe that the results of our study will provide a new insight into the potential of this method.…”

Section: Discussionmentioning

confidence: 99%

“…We conducted a study of 240 patients. A total of 305 patients were diagnosed with endometrial carcinoma at Hospital Donostia de San Sebastiá n (Guipú zcoa, Spain) between January 1, 2000, and December 31,2005. Excluded from the study were 21 patients who did not undergo surgical staging, 25 patients who underwent fractional curettage but did not undergo diagnostic hysteroscopy (three of these patients were also in the group that did not undergo surgical staging), 5 with negative surgical specimens for endometrial carcinoma, and 24 who were diagnosed with another type of cancer: 8 uterine sarcomas, 11 endometrial hyperplasias, 2 cervical cancers, and 3 ovarian cancers (7 of these patients had already been excluded as they did not undergo surgical staging or diagnostic hysteroscopy).…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Assessment of cervical involvement in endometrial carcinoma by hysteroscopy and directed biopsy

Ávila¹,

Ruiz²,

Cortaberria³

et al. 2008

International Journal of Gynecological Cancer

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The objective of this study was to assess the diagnostic validity of hysteroscopy and directed biopsy for assessing cervical involvement in endometrial carcinoma. We conducted a study of 240 hysteroscopies and 44 cervical biopsies performed on 240 patients with endometrial carcinoma between 2000 and 2005. Hysteroscopy results suggested cervical involvement in 55 cases, of which only 31 were confirmed (a subtotal hysterectomy was performed in two cases, and the resection margins were examined for tumor invasion). In the 31 patients with confirmed cervical involvement, 19 of the hysteroscopy-directed biopsies were positive, 3 were negative, and 3 provided insufficient material. Six patients did not undergo biopsy. In the 24 patients with hysteroscopy false positive, 10 directed biopsies were positive and 9 were negative. Five patients did not undergo biopsy. Hysteroscopy suggested an absence of cervical involvement in 185 patients. Diagnosis was confirmed in 177 cases, and there were eight false negatives. In our case, office hysteroscopy proved to be a valid means of ruling out cervical involvement in endometrial carcinoma. However, it was not a valid means of detecting tumor involvement, even when combined with directed biopsy.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%