hysteroscopy;
dilatation and curretage;
endometrial hyperplasia;
endometrial carcinoma;
diagnostics;
D O I:
暂无
中图分类号:
R73 [肿瘤学];
学科分类号:
100214 ;
摘要:
Background: The present study was undertaken to compare the effectiveness of dilatation and curretage (D&C) with hysteroscopy and guided biopsy (H+B) for the collection of endometrial samples adequate for histological examination in perimenopausal women at risk of endometrial hyperplasia or cancer. Methods: We performed hysteroscopy and biopsy followed by dilatation and curettage in 734 patients with abnormal perimenopausal bleeding or sonographically revealed endometrial pathology. Two hundred and ninety-two patients in whom lesions were totally removed during hysteroscopy were excluded from further study. Results: Using both methods we disclosed 64 cases of endometrial polyps, 60 cases of endometrial hyperplasia, and 49 cases of endometrial cancer. Hysteroscopy left just four cases of endometrial pathology undiagnosed as opposed to 21 cases using dilatation and curettage. Histology could not be performed on material obtained with hysteroscopy in four cases and with curettage in 23 cases. Conclusions: 1) Hysteroscopy with directed biopsy is more sensitive in disclosing all types of uterine lesions than dilatation and curettage. 2) Curettage done after hysteroscopy and directed biopsy does not improve the detection of endometrial cancer.
机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Machtinger, R
Korach, J
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机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Korach, J
Padoa, A
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机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Padoa, A
Fridman, E
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机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Fridman, E
Zolti, M
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机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Zolti, M
Segal, J
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机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Segal, J
Yefet, Y
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机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Yefet, Y
Goldenberg, M
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机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Goldenberg, M
Ben-Baruch, G
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机构:
Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, IsraelChaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Machtinger, R
Korach, J
论文数: 0引用数: 0
h-index: 0
机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Korach, J
Padoa, A
论文数: 0引用数: 0
h-index: 0
机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Padoa, A
Fridman, E
论文数: 0引用数: 0
h-index: 0
机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Fridman, E
Zolti, M
论文数: 0引用数: 0
h-index: 0
机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Zolti, M
Segal, J
论文数: 0引用数: 0
h-index: 0
机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Segal, J
Yefet, Y
论文数: 0引用数: 0
h-index: 0
机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Yefet, Y
Goldenberg, M
论文数: 0引用数: 0
h-index: 0
机构:Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel
Goldenberg, M
Ben-Baruch, G
论文数: 0引用数: 0
h-index: 0
机构:
Chaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, IsraelChaim Sheba Med Ctr, Dept Gynecol Oncol, Div Obstet & Gynecol, IL-52621 Tel Hashomer, Israel