Erny R, Isnard S, Boubli L
Rev Fr Gynecol Obstet. 1986 Apr;81(4):195-8.
There is virtually no screening for endometrial cancer after the menopause. The methods so-far available (cervico-vaginal smear or endouterine specimens) are either unreliable or else difficult to perform. The progestogen tests are, in contrast, easy for any doctor to carry out, acceptable to patients, fairly reliable and low cost, which should make their widespread use possible. The administration of a progestogen to a post-menopausal woman should not produce bleeding unless the endometrium is hyperplasic or proliferative. 1 366 tests of this type were carried out and resulted, amongst other discoveries, in the detection of 5 cases of asymptomatic cancers of the endometrium and 2 cases of ovarian cancer.
绝经后几乎没有针对子宫内膜癌的筛查。目前可用的方法(宫颈阴道涂片或子宫内膜标本)要么不可靠,要么操作困难。相比之下,孕激素试验任何医生都易于实施,患者也能接受,相当可靠且成本低廉,这使得其有可能广泛应用。对绝经后女性使用孕激素,除非子宫内膜增生或增殖,否则不应引起出血。共进行了1366次此类检测,除其他发现外,还检测出5例无症状子宫内膜癌和2例卵巢癌。