[Panoramic hysteroscopy in prophylaxis of precancerous lesions and endometrial carcinoma].

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.