Sobczuk Anna, Wrona Marcin, Pertyński Tomasz
Klinika Ginekologii i Chorób Menopauzy Instytutu Centrum Zdrowia Matki Polki w Lodzi.
Ginekol Pol. 2007 Dec;78(12):986-9.
The aim of the study was to present a new EIN classification of premalignant endometrial lesions. The diagnosis of precancerous disease of the endometrium remains non-standardized because the most widely used World Health Organisation classification is a poorly reproducible system, which does not specify objective architectural criteria for each category of hyperplasia and does not correspond to an appropriate clinical management (undertreatment, overtreatment of the lesions). The new proposed EIN diagnostic schema, based on integrated morphological, genetic molecular, objective histomorphometric (D-score) and clinical outcome studies, divides endometrial lesions into three categories: benign hyperplasia, endometrial intraepithelial neoplasia, and cancer.
本研究的目的是提出一种新的子宫内膜癌前病变的EIN分类。子宫内膜癌前疾病的诊断仍未标准化,因为应用最广泛的世界卫生组织分类系统重复性较差,该系统没有为每一类增生指定客观的结构标准,也不符合适当的临床管理(对病变治疗不足或过度治疗)。新提出的EIN诊断模式基于综合形态学、基因分子、客观组织形态计量学(D评分)和临床结果研究,将子宫内膜病变分为三类:良性增生、子宫内膜上皮内瘤变和癌症。