Tiufekchieva E, Slavchev B, Maĭnkhard K
Akush Ginekol (Sofiia). 1998;37(2):33-6.
The diagnostic accuracy of endometrial curettage is studied in 75 patients treated for endometrial cancer with respect to: 1. Detection of endometrial cancer; 2. Histologic type and grade of the cancer; 3. Spread to the cervical canal. It is found that: 1. The diagnosis of cancer by D&C is correct in 84% of cases; 2. The diagnosis of adenosquamous cancer is made by D&C in 25%; 3. Evidence of spread to the cervical canal by D&C is found in 24 cases and confirm ed by surgery in 7 (29.2%) cases, giving a false positive rate of 70.8%. Negative finding in py with target biopsy is advisable in cases of: 1. Positive cervical finding in the D&C specimen; 2. Negative finding in D&C specimen amd persisting symptoms.
对75例接受子宫内膜癌治疗的患者进行了子宫内膜刮宫术的诊断准确性研究，涉及以下方面：1. 子宫内膜癌的检测；2. 癌症的组织学类型和分级；3. 向宫颈管的扩散。研究发现：1. 刮宫术诊断癌症的准确率为84%；2. 刮宫术诊断腺鳞癌的比例为25%；3. 刮宫术发现24例有向宫颈管扩散的证据，其中7例（29.2%）经手术证实，假阳性率为70.8%。在以下情况下，建议进行靶向活检的阴性py检查：1. 刮宫术标本中宫颈检查结果为阳性；2. 刮宫术标本检查结果为阴性且症状持续存在。
