Caubel P, Blondon J, Foulques H, Lefranc J P
Service de chirurgie gynécologique, hôpital de la Salpêtrière, Paris.
Rev Prat. 1990 Jan 1;40(1):31-5.
Endometrial cancer has become one of the most frequent female cancers, second only to breast cancer. It must be looked for in women presenting several high risk factors for endometrial cancer, the common denominator of which is absolute or relative hyperoestrogenism. Hysteroscopy and guided biopsy are the most reliable techniques for the diagnosis of endometrial cancer and its precursors. These techniques must be used in symptomatic patients and in asymptomatic but high risk women whose selection remains controverted as regards the mass detection method.
子宫内膜癌已成为最常见的女性癌症之一,仅次于乳腺癌。对于存在多种子宫内膜癌高危因素的女性必须进行筛查,这些因素的共同特征是绝对或相对雌激素过多。宫腔镜检查及引导下活检是诊断子宫内膜癌及其癌前病变最可靠的技术。这些技术必须应用于有症状的患者以及无症状但属于高危的女性,后者在群体筛查方法方面的选择仍存在争议。