Accuracy and diagnostic value of outpatient hysteroscopy for malign and benign disease
Issat, T.; Beta, J.; Nowicka, M.A.; Jakimiuk, A.J.
European Journal of Gynaecological Oncology 35(1): 52-55
2014
ISSN/ISBN: 0392-2936 PMID: 24654462 Document Number: 672941
The aim of the study was to evaluate accuracy of the outpatient hysteroscopy. This was a retrospective cohort study of 494 women who underwent outpatient hysteroscopy after administration ofnon-steroidal anti-inflammatory agents with the 3.2 mm hysteroscope. Normal saline solution was used as the distension medium. All women were discharged in good general condition afterwards. In cases of abnormal uterine bleeding, there was no apparent pathology found in 112 cases (83.6%). Detection rate (DR) of endometrial polyps was 88.7% with false positive rate (FPR) of 4.6%. Positive predictive value (PPV) was 82.7% with negative predictive value (NPV) of 93.1%. Detection rate (DR) of the submucosal fibroids was 57.7%. Positive predictive value (PPV) was 57.7% with negative predictive value (NPV) of 95.0%. Endometrial cancer was confirmed in ten cases (2.0%), being suspected in eight cases during the procedure. DR in case of the endometrial cancer was 80.0% with FPR of 0.4%. PPV was 66.7% with NPV) of 99.6%. Outpatient hysteroscopy seems to be an effective and accurate diagnostic tool.