Nencioni T, Ciammella M, Parolari L, Greco E, Vezzoli F
Eur J Gynaecol Oncol. 1984;5(2):126-30.
Endometrial aspiration curettage was performed on 1001 women, without anaesthesia. Our experience confirms that Vabra-curettage is, for patients, a simple and well tolerated sampling technic. We were not able to perform the technic in 18 patients for close cervical stenosis. In 41 patients the samples were quantitatively not adequate for a correct histological diagnosis. In all these cases a control by D & C was performed, in general anaesthesia, and no proliferative pathology was found. The most common presenting symptom in Intraepithelial Carcinoma of Endometrium (ICE) and in carcinoma was abnormal vaginal bleeding; nevertheless 5 cases of ICE and 2 cases of adenocarcinoma did not show any symptom. This study confirms that systematic screening of asymptomatic perimenopausal and postmenopausal women may lead to the discovery of occult endometrial cancers, some of which are advanced.
对1001名女性进行了子宫内膜吸刮术，未实施麻醉。我们的经验证实，对患者而言，Vabra刮宫术是一种简单且耐受性良好的采样技术。由于宫颈管狭窄严重，我们无法对18名患者实施该技术。在41名患者中，样本数量不足以进行正确的组织学诊断。在所有这些病例中，均在全身麻醉下进行了刮宫术作为对照，未发现增殖性病变。子宫内膜上皮内癌（ICE）和癌最常见的症状是阴道异常出血；然而，有5例ICE和2例腺癌未表现出任何症状。这项研究证实，对无症状的围绝经期和绝经后妇女进行系统筛查可能会发现隐匿性子宫内膜癌，其中一些已处于晚期。
