title: Sonographic, hysteroscopic, histological correlation in the early diagnosis of endometrial carcinoma.
abstract: The authors evaluate the diagnostic role of hysteroscopy and sonography in the early detection of endometrial cancer. In their experience diagnostic accuracy of transabdominal ultrasound was 87.5%; the introduction of transvaginal sonography increased it up to 95.8%, whereas hysteroscopy had diagnostic accuracy of 100%. The hysteroscopy allowed us to establish cervical canal involvement in 100% of cases. Since sonography is well accepted by patients, the authors propose to perform it in high risk patients once a year as a first level exam to show abnormal endometrial echoes. Therefore patients can be selected to undergo hysteroscopy and, if necessary, biopsy.
authors.affiliation: 3rd Dept. Obstetrics and Gynecology, University La Sapienza, Rome.
authors.forename: S
authors.initials: S
authors.lastname: Rullo
authors.forename: M G
authors.initials: MG
authors.lastname: Piccioni
authors.forename: M L
authors.initials: ML
authors.lastname: Framarino dei Malatesta
authors.forename: J
authors.initials: J
authors.lastname: Silvestrini
authors.forename: T
authors.initials: T
authors.lastname: Boni
authors.forename: L
authors.initials: L
authors.lastname: Marzetti
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D004724:Endoscopy; D005260:Female; D006801:Humans; D008875:Middle Aged; D012680:Sensitivity and Specificity; D014463:Ultrasonography / Q000379:methods; D014591:Uterine Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D014592:Uterine Hemorrhage / Q000209:etiology; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology