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首页> 外文期刊>European journal of gynaecological oncology >Hysteroscopic findings of endometrial carcinoma. Evaluation of 104 cases.
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Hysteroscopic findings of endometrial carcinoma. Evaluation of 104 cases.

机译：子宫内膜癌的宫腔镜检查结果。评价104例。

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摘要

PURPOSE OF INVESTIGATION: Retrospective evaluation of hysteroscopic findings in the accurate diagnosis of endometrial carcinoma. METHODS: A retrospective monocentric study from January 1995 to December 2004. One hundred and four patients with hysteroscopic aspects evocative of endometrial carcinoma confirmed by endometrial biopsy during diagnostic hysteroscopy, by surgical hysteroscopic resection pieces or by hysterectomy specimen were included. RESULTS: Among the 104 patients, diagnostic hysteroscopy pointed out endometrial features suggestive of endometrial carcinoma in 102 cases. In two women diagnostic hysteroscopy failed to diagnose endometrial malignancy which was identified on pieces of polyps by surgical hysteroscopic resection. DISCUSSION: Polypoid proliferations cerebroid in appearance, with ulceration and necrosis, friable and with irregular vessels, represent endometrial findings highly indicative of malignancy. The diagnosis may be missed in cases of focal neoplasias, within endometrial polyps or in conditions of unsatisfactory endouterine visualization.
机译：研究目的：回顾性评估宫腔镜检查结果对子宫内膜癌的准确诊断。方法：1995年1月至2004年12月的一项回顾性单中心研究。纳入104例经诊断性宫腔镜检查的子宫内膜活检，手术性宫腔镜切除件或子宫切除术标本证实为子宫内膜癌的子宫内膜癌患者。结果：在104例患者中，诊断性宫腔镜检查提示102例子宫内膜特征提示子宫内膜癌。在两名妇女中，诊断性宫腔镜检查未能诊断出子宫内膜恶性肿瘤，而子宫内膜恶性肿瘤是通过宫腔镜手术切除在息肉上发现的。讨论：息肉样增生性脑样增生，溃疡和坏死，易碎且血管不规则，代表子宫内膜发现，高度提示恶性。在局灶性肿瘤，子宫内膜息肉内或子宫内窥镜检查不理想的情况下，可能会漏诊。

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