Kuramoto H, Jobo T, Shimoda T
Gan To Kagaku Ryoho. 1985 Dec;12(12):2251-7.
A basic concept toward the popularization of screening for endometrial carcinoma was discussed. Cytology obtained from endometrial cavity is mandatory for such a screening method and is more valuable than cytology from the cervix or biopsy obtained by endometrial curettage. When utilized in combination with hysteroscopy, it will be worthwhile for the detection of early endometrial carcinoma with better prognosis. A prospective screening trial was performed on 7,847 women and both high-risk and low-risk factors were evaluated. From these data, the present criteria for starting the screening for endometrial carcinoma are introduced to be as follows; "women who complain of any kind of metrorrhragia" especially, aged 50 or above, postmenopausal, and nulligravida or gravida without pregnancy in recent years. Finally, the future problems of such screening were also discussed.
讨论了子宫内膜癌筛查普及的一个基本概念。对于这种筛查方法，从子宫内膜腔获取细胞学检查是必不可少的，并且比宫颈细胞学检查或子宫内膜刮宫活检更有价值。当与宫腔镜检查联合使用时，对于检测预后较好的早期子宫内膜癌将是值得的。对7847名女性进行了一项前瞻性筛查试验，并评估了高危和低危因素。根据这些数据，引入了目前开始子宫内膜癌筛查的标准如下：“有任何一种子宫出血症状的女性”，特别是50岁及以上、绝经后、未孕或近年来未怀孕的孕妇。最后，还讨论了这种筛查未来的问题。
