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
References
Mar 1, 1988·American Journal of Obstetrics and Gynecology·R J Gimpelson, H O Rappold
Jun 1, 1988·American Journal of Obstetrics and Gynecology·P G Brooks, S P Serden
Nov 11, 1995·Lancet·P Neven
May 1, 1994·Acta Obstetricia Et Gynecologica Scandinavica·B CacciatoreP Ylöstalo
Jul 1, 1996·Obstetrics and Gynecology·F NageleA Magos
Nov 1, 1996·Maturitas·G LoverroL Selvaggi
Aug 1, 1997·The Journal of the American Association of Gynecologic Laparoscopists·R TorrejonR Comino
Aug 1, 1996·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·H HallerD Mozetic
Apr 1, 1995·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·L H UnoJ A Pinotti
Jul 2, 1999·Obstetrics and Gynecology·O Abulafia, D M Sherer
Jul 2, 1999·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·G GarutiM Luerti
Citations
Aug 27, 2011·Archives of Gynecology and Obstetrics·Amr K ElfayomyMohamed A Alkabalawy
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
Mar 17, 2004·Obstetrical & Gynecological Survey·Ariel RevelAsher Shushan
Sep 13, 2012·Menopause : the Journal of the North American Menopause Society·Daniel María Lubián LópezRafael Comino Delgado
Jul 26, 2012·Clinical Obstetrics and Gynecology·Ming C Tsai, Steven R Goldstein
Oct 27, 2007·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·A Ben-ArieO Lavie
Aug 19, 2004·Gynecologic and Obstetric Investigation·Asher ShushanNathan Rojansky
Jul 23, 2013·Archives of Gynecology and Obstetrics·Ahmed Khairy MakledDemiana Samir Shenouda
Jan 15, 2013·Preventive Medicine·David Eng-Yeow GanFoong-Ming Moy
Jan 21, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Esra B KilicdagFiliz A Bolat
Oct 20, 2010·Journal of Minimally Invasive Gynecology·Ettore Cicinelli
Jun 29, 2010·Journal of Minimally Invasive Gynecology·Daniela SuricoNicola Surico
Aug 25, 2015·Journal of Minimally Invasive Gynecology·Hsuan Chin, Bao-liang Lin
May 9, 2009·Journal of Minimally Invasive Gynecology·George A VilosAwatif Al-Mubarak
Aug 30, 2008·Journal of Minimally Invasive Gynecology·Giancarlo GarutiMassimo Luerti
Jun 26, 2007·Maturitas·A AntunesA M Pinto-Neto
Jul 5, 2015·Journal of Minimally Invasive Gynecology·Margit DueholmGitte Ørtoft
May 23, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·H van DongenF W Jansen
Apr 23, 2014·The Journal of Obstetrics and Gynaecology Research·Asli AlayUgur Ates
Aug 22, 2006·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·J Fernández-ParraF Montoya Ventoso
Jul 11, 2006·Journal of Minimally Invasive Gynecology·Giancarlo GarutiMassimo Luerti
May 9, 2006·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Giancarlo GarutiMassimo Luerti
Nov 22, 2005·Gynecologic Oncology·Giancarlo GarutiMassimo Luerti
Oct 11, 2005·Journal of Minimally Invasive Gynecology·Ettore Cicinelli
Mar 5, 2016·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Hsuan SuChyi-Long Lee
Jul 11, 2020·Climacteric : the Journal of the International Menopause Society·S MolnárP Török
Aug 28, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Alyssa LarishAndrea Mariani
Feb 7, 2013·Einstein·Angela Mendes BergamoReginaldo Guedes Coelho Lopes
Sep 27, 2018·Gynecology and Minimally Invasive Therapy·Deeksha PandeyHsuan Su
Dec 31, 2019·BioMed Research International·Hui-Yu HuangChin-Jung Wang
Apr 13, 2019·Archives of Gynecology and Obstetrics·Judit LőrinczPéter Török
Dec 12, 2020·BMJ Open·Yu XuAi Zheng
Jul 6, 2021·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Luigi Della CorteJan Tesarik