Related Experiment Video
Updated: Oct 3, 2026
Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps
Published on: August 2, 2024
Risk of discovering endometrial carcinoma or atypical hyperplasia during hysteroscopic surgery in postmenopausal
A Agostini1, L Cravello, F Bretelle
1Service d'obstétrique et de gynécologie, Hôpital de la Conception,147 Boulevard Baille, 13385 Marseille Cedex 5, France.
Study Objective:
To assess the risk of diagnosing endometrial carcinoma or atypical hyperplasia in tissue resected during hysteroscopy performed for intrauterine pathology presumed benign in postmenopausal women.
Design:
A single-center prospective study (Canadian Task Force classification II-2).
Setting:
Department of Gynecology, La Conception Hospital, Marseille, France.
Patients:
Three hundred twenty-five women with intrauterine pathology, presumed benign, causing postmenopausal bleeding or bleeding related to hormone replacement therapy.
Intervention:
All women had an endometrial biopsy after diagnostic hysteroscopy to exclude endometrial carcinoma or atypical hyperplasia. Then they underwent hysteroscopic surgical resection (203, 62.5%) or endometrial ablation (122, 37.5%).
Measurements And Main Results:
Two cases each (0.6%) of endometrial carcinoma and endometrial atypical hyperplasia were discovered that were missed by preoperative evaluations.
Conclusion:
Outpatient hysteroscopy and endometrial biopsy do not eliminate the finding of carcinoma or endometrial atypical hyperplasia, as these disorders may be discovered during hysteroscopic surgery.
