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子宫内膜癌早期诊断中的临床与形态学关联

Clinical and morphological correlations in early diagnosis of endometrial cancer.

作者信息

Neacşu Adrian, Marcu Mădălina Lucia, Stănică Cătălina Diana, Brăila Anca Daniela, Pacu Irina, Ioan Raluca Gabriela, Grigorescu Cicerone Cătălin, Ionescu Crîngu Antoniu

机构信息

Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Romania;

出版信息

Rom J Morphol Embryol. 2018;59(2):527-531.

Abstract

The prevalence of endometrial cancer among asymptomatic women is rather reduced also due to the absence of a cost-efficient test, as there are no ideal screening examinations for endometrial cancer. Several methods were proposed in medical practice to discover endometrial neoplasia at an early stage, among which: endometrial biopsy, endovaginal ultrasound, targeted biopsy hysteroscopy. This study was made on a group of 38 patients monitored for metrorrhagia in the interval between July 1, 2014-July 1, 2016. All patients were monitored clinically and by ultrasound, endometrium samples were taken by biopsied uterine curettage, and a histopathological examination was performed, completed by immunomarking, whenever necessary. The clinical and paraclinical methods allowed for the creation of a protocol by which patients were monitored. This protocol allowed for the modulation and effectiveness of the treatment, establishing the best therapeutic conduct and the remote supervision.

摘要

由于缺乏经济高效的检测方法,无症状女性子宫内膜癌的患病率也有所降低,因为目前尚无理想的子宫内膜癌筛查检查。在医学实践中提出了几种早期发现子宫内膜肿瘤的方法,其中包括:子宫内膜活检、经阴道超声检查、靶向活检宫腔镜检查。本研究针对2014年7月1日至2016年7月1日期间因月经过多而接受监测的38例患者进行。所有患者均接受临床和超声监测,通过刮宫术获取子宫内膜样本,并进行组织病理学检查,必要时通过免疫标记完成检查。临床和辅助临床方法有助于制定对患者进行监测的方案。该方案有助于调整治疗方法并提高其有效性,确定最佳治疗方案并进行远程监测。

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