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A new hysteroscopic classification of and nomenclature for endometrial lesions
Study Objective:
To establish a hysteroscopic classification of endometrial lesions based on a combined score:
Design:
A prospective study to grade four features of endometrial lesions (thickness, surface, color, vascularization) and subdivide them as mild (low risk) and severe (high risk).
Setting:
Gynecologic endoscopy unit of an obstetric and gynecology clinic.
Patients:
Two hundred twenty-nine women with hysteroscopically diagnosed endometrial lesions.
Interventions:
Hysteroscopic inspection of endometriotic lesions, with grading performed on the four features.
Measurements And Main Results:
The sensitivity and specificity of our system were 86.9% and 87.4% for mild pathology, and 96% and 92.9% for severe pathology.
Conclusions:
This hysteroscopic classification of endometrial pathology can be useful for a better definition of endometrial lesions. The method has good sensitivity and specificity.