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Hysterectomy pp 125-129 | Cite as

Interventional Diagnostics Before Hysterectomy

  • Sergio HaimovichEmail author
Chapter
  • 699 Downloads

Abstract

Hysteroscopy has become the “gold standard” in the study of the endometrial cavity. To day we are able in an office setting to reach a diagnosis for all endometrial pathology. In this chapter we will review the indications and limitations of diagnostic hysteroscopy prior to hysterectomy.

Keywords

Hysteroscopy Hysterectomy Diagnosis Endometrial adenocarcinoma Atypia hyperplasia 

References

  1. 1.
    Lindheim SR, Kavic S, Shulman SV, Sauer MV. Operative hysteroscopy in the office setting. J Am Assoc Gynecol Laparosc. 2000;7:65–9.CrossRefPubMedGoogle Scholar
  2. 2.
    Bettocchi S, Ceci O, Nappi L, et al. Operative hysteroscopy without anesthesia: analysis of 4863 cases performed with mechanical instruments. J Am Assoc Gynecol Laparosc. 2004;11:59–61.CrossRefPubMedGoogle Scholar
  3. 3.
    Balasch J. Investigation of the infertile couple: investigation of the infertile couple in the era of assisted reproductive technology: a time for reappraisal. Hum Reprod. 2000;15:2251–7.CrossRefPubMedGoogle Scholar
  4. 4.
    Brand A. Diagnosis of endometrial cancer in women with abnormal uterine bleeding. J SOGC. 2000;86:1–3.Google Scholar
  5. 5.
    Chambers JT, Chambers SK. Endometrial sampling: when? Where? Why? With what? Clin Obstet Gynecol. 1992;35:28–39.CrossRefPubMedGoogle Scholar
  6. 6.
    Creasman WT. Endometrial cancer: incidence, prognostic factors, diagnosis, and treatment. Semin Oncol. 1997;24 :S1–140–50.Google Scholar
  7. 7.
    Clark TJ, Voit D, Gupta JK, Hyde C, Song F, Khan KS. Accuracy of hysteroscopy in the diagnosis of endometrial cancer and hyperplasia: a systematic quantitative review. JAMA. 2002;288:1610–21.CrossRefPubMedGoogle Scholar
  8. 8.
    Farrell T, Jones N, Owen P, Baird A. The significance of an “insufficient” Pipelle sample in the investigation of postmenopausal bleeding. Acta Obstet Gynecol Scand. 1999;78:810–2.CrossRefPubMedGoogle Scholar
  9. 9.
    Valenzuela P, Sanz JM, Keller J. Atypical endometrial hyperplasia: grounds for possible misdiagnosis of endometrial adenocarcinoma. Gynecol Obstet Invest. 2003;56:163–7.CrossRefPubMedGoogle Scholar
  10. 10.
    Trimble CL, Kauderer J, Zaino R, Silverberg S, Lim PC, Burke JJ, et al. Concurrent endometrial carcinoma in women with a biopsy diagnosis of atypical endometrial hyperplasia: a Gynecologyc Oncology Group study. Cancer. 2006;106:812–9.CrossRefPubMedGoogle Scholar
  11. 11.
    Schutter J, Wright Jr TC. Prevalence of underlying adenocarcinoma in women with atypical endometrial hyperplasia. Int J Gynecol Pathol. 2005;24:313–8.CrossRefGoogle Scholar
  12. 12.
    Garuti G, Mirra M, Luerti M. Hysteroscopic view in atypical endometrial hyperplasias: a correlation with pathologic findings on hysterectomy specimens. J Minim Invasive Gynecol. 2006;13:325–30.CrossRefPubMedGoogle Scholar
  13. 13.
    Bilgin T, Ozuysal S, Ozan H, Atakan T. Coexisting endometrial cancer in patients with a preoperative diagnosis of atypical endometrial hyperplasia. J Obtet Gynaecol Res. 2004;30:205–9.CrossRefGoogle Scholar
  14. 14.
    Daud S, Jalil S, Griffin M, Ewies A. Endometrial hyperplasia – the dilemma of management remains: a retrospective observational study of 280 women. Eur J Obstet Gynecol Repro Biol. 2011;159:172–5.CrossRefGoogle Scholar
  15. 15.
    Kendall BS, Ronnett BM, Isacson C, Cho KR, Hedrick L, Diener-West M, et al. Reproducibility of the diagnosis of endometrial hyperplasia, atypical hyperplasia, and well differentiated carcinoma. Am J Surg Pathol. 1998;22:1012–7.CrossRefPubMedGoogle Scholar
  16. 16.
    Vincent BD, Fraig M. A pilot study of narrow-band imaging compared to white light bronchoscopy for evaluation of normal airways and premalignant and malignant airways disease. Chest. 2007;131:1794–9.CrossRefPubMedGoogle Scholar
  17. 17.
    Lasmar RB, Barrozo PR, De Oliveira MA, Coutinho ES, Dias R. Validation of hysteroscopic view in cases of endometrial hyperplasia and cancer in patients with abnormal uterine bleeding. J Minim Invasive Gynecol. 2006;13:409–12.CrossRefPubMedGoogle Scholar
  18. 18.
    Kisu I, Banno K, Kobayashi Y, Ono A, Masuda K, Ueki A, Nomura H, Hirasawa A, Abe T, Kouyama K, Susumo N, Aoki D. Flexible hysteroscopy with narrow band imaging (NBI) for endoscopic diagnosis of malignant endometrial lesions. Int J Oncol. 2011;38:613–8.PubMedGoogle Scholar
  19. 19.
    Surico D, Vigone A, Bonvini D, Tinelli R, Leo L, Surico N. Narrow-band imaging in diagnosis of endometrial cancer and hyperplasia: a new option? J Minim Invasive Gynecol. 2010;17:620–5.CrossRefPubMedGoogle Scholar
  20. 20.
    Cicinelli E, Tinelli R, Colafiglio G, Pastore A, Mastrolia S, Lepera A, Clevin L. Reliability of narrow-band imaging (NBI) hysteroscopy: a comparative study. Fertil Steril. 2010;94(6):2303–7.CrossRefPubMedGoogle Scholar
  21. 21.
    Vilos G, Edris F, Al-Mubarak A, Ettler H, Hollett-Caines J, Abu-Rafea B. Hysteroscopic surgery does not adversely affect the long-term prognosis of women with endometrial adenocarcinoma. J Minim Invasive Gynecol. 2007;14(2):205–10.CrossRefPubMedGoogle Scholar
  22. 22.
    Polyzos NP, Mauri D, Tsioras S, Messini CI, Valachis A, Messinis IE. Intraperitoneal dissemination of endometrial cancer cells after hysteroscopy: a systematic review and meta-analysis. Int J Gynecol Cancer. 2010;20:261–7.CrossRefPubMedGoogle Scholar
  23. 23.
    Cronje HS, Deale CJC. Staging of endometrial cancer by hysteroscopy. S Afr Med J. 1988;73:716–7.PubMedGoogle Scholar
  24. 24.
    Garuti G, De Giorgi O, Sambruni I, Cellani F, Luerti M. Prognostic significance of hysteroscopic imaging in endometrioid endometrial adenocarcinoma. Gynecol Oncol. 2001;81:408–13.CrossRefPubMedGoogle Scholar
  25. 25.
    Leminen A, Forss M, Lehtovirta P. Endometrial adenocarcinoma with clinical evidence of cervical involvement: accuracy of diagnostic procedures, clinical course, and prognostic factors. Acta Obstet Gynecol Scand. 1995;74:61–6.CrossRefPubMedGoogle Scholar
  26. 26.
    Toky T, Oka K, Nakayama K, Oguchi O, Fujii S. A comparative study of pre-operative procedures to assess cervical invasión by endometrial carcinoma. Br J Obstet Gynaecol. 1998;105:512–6.CrossRefGoogle Scholar
  27. 27.
    Villegas I, Andía D, Rui-Wamba MJ, De la Rosa JH, Marqués M. Utility of hysteroscopy in the presurgical diagnosis of cervical invasion in endometrial carcinoma. Prog Obstet Ginecol. 2004;47(12):548–53.CrossRefGoogle Scholar
  28. 28.
    Sugimoto O. Diagnostic hysteroscopy. In: Coppleson M, Monaghan JM, Morrow CP, Tattersall MHN, editors. Gynecologic oncology, fundamental principles and clinical practice, vol. 1. 2nd ed. New York: Churchill Livingstone; 1992. p. 341–56.Google Scholar
  29. 29.
    Taddei GL, Mancini D, Scarselli G, Tantini C, Bargelli G. Can hysteroscopic evaluation of endometrial carcinoma influence therapeutic treatment? Ann N Y Acad Sci. 1994;734:482–7.CrossRefPubMedGoogle Scholar
  30. 30.
    Morrow CP, Curtin JP. Management of uterine neoplasia. In: Morrow CP, Curtin JP, De La Osa EL, editors. Gynecologic cancer surgery. New York: Churchill Livingstone; 1996. p. 569–625.Google Scholar

Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  1. 1.Head of the Hysteroscopy UnitDel Mar University HospitalBarcelonaSpain

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