The Role of Hysteroscopy In Endometrial Cancer
Journal Title: International Journal of Clinical Therapeutics and Diagnosis (IJCTD) - Year 2015, Vol 0, Issue 2
Abstract
Endometrial cancer (EC) is the most frequent gynecological malignancy. Hysteroscopy is a minimally invasive diagnostic and operative technique mainly deployed in cases presented with abnormal uterine bleeding (AUB) or infertility. During the last decades, diagnostic hysteroscopy tends to be at least equally important as the Dilatation & Curretage (D&C), in investigatin AUB. By using this diagnostic method, the uterine cavity can be thoroughly visualized and an endometrial biopsy specimen can be taken under hysteroscopic view. An EC can be detected in 7-10% of postmenopausal patients and 2-3% of premenopausal patients submitted to hysteroscopy. Hysteroscopy has been recently confirmed to be an accurate diagnostic method in the diagnosis of endometrial carcinoma. Hysteroscopic examination before surgery in patients with endometrial cancer may increase the risk of dissemination of malignant cells into the peritoneal cavity. The risk was statistically significantly associated with the use of a liquid medium for uterine cavity distention but not with early-stage disease. There is no evidence to support an association between preoperative hysteroscopic examination and a worse prognosis. There is no reason to avoid diagnostic hysteroscopy before to surgery in patients with endometrial cancer, especially in early stages.
Authors and Affiliations
Georgios L. Adonakis
Keywords
Related Articles
- EP ID EP203007
- DOI 10.19070/2332- 2926-SI01004
- Views 155
- Downloads 0
Fueling Neuroscience with Human Pluripotent Stem Cells
Fueling Neuroscience with Human Pluripotent Stem Cells
Hypertensive Urgency: The Role of Clinical Pharmacist in Identifying and Managing Drug Therapy Problems: The Case of Ambo Hospital Medical Ward, Ethiopia
Worldwide the role of clinical pharmacists is becoming valuable and expanding in an alarming rate especially in developed countries. However, it is at its infancy stage in low income countries like Ethiopia. Therefore, t...
Autophagy: a potential therapeutic target in cardiac lipotoxicity?
Autophagy: a potential therapeutic target in cardiac lipotoxicity?
Reduction in Dietary Sodium is Associated With a Reduction in Cardiovascular Events and Mortality
Reduction in Dietary Sodium is Associated With a Reduction in Cardiovascular Events and Mortality
A Review on Adverse Health Effects of Laboratory Volatile Solvents
The main objective of this review is to describe the health effects of commonly used laboratory volatile solvents in institutional laboratories. The most commonly used laboratory solvents such as petroleum ether, methano...