Diagnostic accuracy of hysteroscopy vs dilation and curettage (D&C) for atypical endometrial hyperplasia in patients performing hysterectomy or serial follow-up

被引：5

作者：

Nappi, Luigi ^{[1
]}

Angioni, Stefano ^{[2
]}

De Feo, Vincenzo ^{[1
]}

Greco, Pantaleo ^{[3
]}

Stabile, Guglielmo ^{[4
]}

Greco, Francesca ^{[1
]}

D'Alterio, Maurizio Nicola ^{[2
]}

Sorrentino, Felice ^{[1
]}

机构：

[1] Univ Foggia, Dept Med & Surg Sci, I-71100 Foggia, Italy

[2] Univ Cagliari, Div Gynecol & Obstet, Dept Surg Sci, I-09124 Cagliari, Italy

[3] Univ Ferrara, Sect Obstetr & Gynaecol, Dept Med Sci, I-44121 Ferrara, Italy

[4] Inst Maternal & Child Hlth IRCCS Burlo Garofolo, Dept Obstet & Gynecol, I-34137 Trieste, Italy

来源：

CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY | 2022年 / 49卷 / 01期

关键词：

Endometrial hyperplasia (EH); Office hysteroscopy (OH); Dilation and curettage (D&C); Transvaginal ultrasound (TVUS); Endometrial biopsy (EB); Endometrial carcinoma; CANCER; WOMEN; CARCINOMA; RISK; DILATATION;

D O I：

10.31083/j.ceog4901024

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Background: Endometrial hyperplasia (EH) is considered a heterogeneous pre-neoplastic clinical entity characterized by an abnormal glandular proliferation, with less than half of the tissue area occupied by the stroma. The aim of this retrospective study was to evaluate the correlation between the histological diagnosis of atypical endometrial hyperplasia (AEH) obtained through office hysteroscopy (OH) or uterine dilation and curettage (D&C) and the definitive histological evaluation after hysterectomy. Methods: Among 112 patients with atypical EH, 45 (40%) underwent hysteroscopy and 67 (60%) curettage. Results: The diagnostic accuracy of OH was very high: in particular, it showed a diagnostic coincidence in 87% of cases with the definitive histological diagnosis through hysteroscopy. The curettage, instead, had diagnostic coincidence only in 14% of cases. Conclusion: Office hysteroscopy is the ideal procedure for both diagnosis and follow-up of endometrial hyperplasia.

引用

页数：5

共 43 条

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