Microhysteroscopy in evaluation of the endocervix in endometrial carcinoma

Microhysteroscopy (MH) was used for the assessment of endocervical involvement in patients with endometrial carcinoma. Between 1 July 1984 and 28 February 1985, fifteen cases were seen. Of these, nine patients had had fractional curettage and all were deemed to have endocervical involvement. As a result of the use of MH, five of these stage II cases were down-staged. The remaining four cases had their staging confirmed by MH and directed endocervical curettage. The six patients who had no initial endocervical assessment were found to have Stage I disease, using the MH alone. The MH findings were corroborated and confirmed on histological examination of the surgical specimens. MH should be the initial investigation in patients with suspected endometrial carcinoma and all patients with postmenopausal bleeding.