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Hysteroscopy pp 269-280 | Cite as

Hysteroscopy Classification for Endometrial Cancer

Chapter

Abstract

Endometrial cancer is the most commonly diagnosed gynecological cancer in Western countries. It usually presents with abnormal uterine bleeding, and current methods of dilation and curettage and office endometrial biopsy both present with a problem of upgraded pathological grade when compared with final hysterectomy results. Office hysteroscopic examination has a sensitivity of 78% for endometrial cancer. Evaluation of the background endometrium is necessary for comparison with the neoplastic lesion. Cerebroid pattern suggests at least a low-grade endometrial cancer. If glomerular pattern is present, high-grade endometrial cancer is highly suspected. Inspection begins with the endocervix, then a panoramic view of the endometrium. The neoplastic lesion should be compared with the background endometrium. Endocervix should be evaluated again to determine cervical involvement. A well-targeted biopsy can aid in a precise preoperative diagnosis.

Keywords

Diagnostic hysteroscopy Endometrial cancer Glomerular pattern Cerebroid pattern 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Division of Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou Chang Gung University School of MedicineTao-YuanTaiwan

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