PMID: 11342726May 9, 2001Paper

Accuracy of hysteroscopy in predicting histopathology of endometrium in 1500 women

The Journal of the American Association of Gynecologic Laparoscopists
G GarutiM Luerti

Abstract

To estimate the accuracy of hysteroscopy in predicting endometrial histopathology. Retrospective analysis (Canadian Task Force classification II-2). Public hospital. One thousand five hundred women undergoing diagnostic hysteroscopy for suspected endometrial pathology, mostly because of abnormal uterine bleeding. Hysteroscopy and endometrial biopsy. Hysteroscopy imaging was matched with histology. Functional, dysfunctional, and atrophic endometrium were considered normal findings; endometritis, endometrial polyps, hyperplasia, and carcinomas were considered abnormal. Sensitivity, specificity, and negative (NPV) and positive (PPV) predictive values of hysteroscopy in detecting normal or abnormal endometrium were calculated. These figures were defined to assess hysteroscopic accuracy in estimating pathologic conditions. Histology showed normal endometrium in 927 patients. Endometritis, polyps, hyperplasia, and malignancies were found in 21, 265, 185, and 102 patients, respectively. Hysteroscopy showed sensitivity, specificity, NPV, and PPV of 94.2%, 88.8%, 96.3%, and 83.1%, respectively, in predicting normal or abnormal histopathology of endometrium. Highest accuracy was in diagnosing endometrial polyps, with sensitivity, specifi...Continue Reading

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Citations

May 21, 2005·Journal of Minimally Invasive Gynecology·David ShveikyAsher Shushan
Jun 1, 2005·Journal of Minimally Invasive Gynecology·Giancarlo GarutiMassimo Luerti
May 17, 2005·Gynecologic Oncology·Giancarlo GarutiMassimo Luerti
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