Diagnostic methods of early detection of endometrial hyperplasia and cancer
Pace, S.; Grassi, A.; Ferrero, S.; Figliolini, N.; Catania, R.; Labi, F.L.; Pachì, A.; Figliolini, M.
European Journal of Gynaecological Oncology 16(5): 373-381
1995
ISSN/ISBN: 0392-2936 PMID: 8549603 Document Number: 911
Endometrial carcinoma is the most frequent genital neoplasia in women. Our own experience is based on a group of 3310 patients who were studied between 1985 and April 1994. In 2148 cases, equivalent to 56.4%, hysteroscopy was performed because of the presence of abnormal uterine bleeding (AUB). We found 672 endometrial hyperplasia (601 low risk-71 high risk) and 93 endometrial carcinoma. According to our experience we can assert that: hysteroscopy allows the measurement of the extension of the intracavitary neoplastic pathology and the definition of its topographic map; it is the only method that allows a target biopsy; it facilitates the evaluation of the extension of the neoplasia in the cervical canal, with the help of a deep biopsy into the cervical tissue (as proposed by La Sala) increasing its diagnostic accuracy.
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