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Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps
Published on: August 2, 2024
[Panoramic hysteroscopy in prophylaxis of precancerous lesions and endometrial carcinoma]
1Katedry i Kliniki Ginekologii Operacyjnej i Onkologii Ginekologicznej Dorosłych i Dziewczat Pomorskiej Akademii Medycznej w Szczecinie.
Objectives:
The purpose of the study was to check the conformity of diagnosis based on macroscopic hysteroscopy image with the respective pathology report.
Materials And Methods:
Study population consisted of 160 patients aged 45-86 years, with abnormal uterine bleeding or abnormal ultrasonographic image of endometrium. In all cases pelvic sonography and hysteroscopy were performed.
Results:
Abnormal findings were detected hysteroscopically in 123 cases out of 160 hysteroscopies performed. Hysteroscopic diagnosis was confirmed by pathological examination in 100 cases (81.3%). The conformity of hysteroscopic image with the pathology report varied in different lesions, amounting to 90.9% in cases of submucosus myomas, 86.9% in endometrial polyps, 25.0% in endometrial hyperplasia and 71.42% in cases of endometrial carcinoma.
Conclusions:
1. Hysteroscopic features are in high agreement with pathology report with reference to endometrial cancer, endometrial polyps and submucosus myomas. 2. Hysteroscopy does not seem to be a satisfactory tool for the differentiation between endometrial hyperplasia and endometrial carcinoma.