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[Hysteroscopic features in postmenopausal uterine bleeding]
P Saccucci1, G Rigon, C Provenza
1II Divisione di Ostetricia e Ginecologia Azienda Ospedaliera Nicholas Green, Ospedale S. Camillo, Roma.
Insights
Outpatient hysteroscopy is an effective method for diagnosing endometrial cancer early. This procedure successfully identified all cancerous cases, offering a safe alternative to dilatation and curettage for abnormal uterine bleeding.
Area of Science:
- Gynecology
- Oncology
- Diagnostic Procedures
Background:
- Abnormal uterine bleeding (AUB) is a common gynecological issue.
- Early diagnosis of endometrial cancer is crucial for effective treatment.
- Dilatation and curettage (D&C) is a traditional diagnostic method.
Purpose of the Study:
- To evaluate the efficacy of outpatient hysteroscopy in diagnosing endometrial cancer.
- To compare hysteroscopy with D&C for early cancer detection.
Main Methods:
- One hundred forty-three patients with AUB underwent outpatient hysteroscopy.
- Endometrial features (color, vascularity, thickness, necrotic areas) were assessed.
- Biopsies were taken for histological examination.
Main Results:
- Hysteroscopy successfully identified three groups: cancer-negative, suspicious, and carcinoma.
- Cancer was confirmed in 5 hysteroscopically diagnosed cases.
- One of 16 suspicious cases was diagnosed with cancer via biopsy.
- Procedures were performed on an outpatient basis with minimal complications.
Conclusions:
- Outpatient hysteroscopy is a safe and effective tool for the early diagnosis of endometrial cancer.
- Hysteroscopy can substitute D&C for diagnosing endometrial cancer in patients with AUB.
Abstract:
One hundred forty three patients underwent hysteroscopy for abnormal uterine bleeding from January 1993 through December 1994. Sixty patients were postmenopausal. All but 3 of the procedures were performed on outpatient with no significant complications. Three groups could be identified on the basis of endometrial features (color, vascularity, thickness, necrotic areas): 1) negative for cancer, 2) possible or suspect (low or high risk), 3) carcinoma. Biopsy indicated cancer in one of the 16 doubtful cases, and in all (5) of the hysteroscopically diagnosed cancers. Outpatient Hysteroscopy successfully substitutes D&C (dilatation and curettage) for early diagnosis of endometrial cancer.