[Hysteroscopy as a method of evaluation of endometrial pathology during climacteric ].
The Authors analyse 207 hysteroscopies performed in the outpatient clinic in women during menopause, without the use of dilatation or local anesthetic. The test was completed in 175 patients (84.6%). Tolerability was acceptable in 95% of cases. The main indication (80%) was atypical secretions during menopause or changes in the menstrual cycle. Hyperplastic lesions were confirmed in 12% of the tests carried out. An endometrial K was diagnosed in 5 cases (2.9%). The method showed a good level of specificity of diagnosis but it not always sufficiently sensitive. It is therefore necessary to complete the test by taking a selected histological sample using Novak's cannula.
Canino
A
A
I Divisione Ostetricia e Ginecologia, Ente Ospedaliero Niguarda-Ca' Granda - Milano.
Cecchini
G
G
Bartemucci
G
G
Cicchetti
G
G
D000328:Adult; D002979:Climacteric; D003937:Diagnosis, Differential; D004717:Endometrium / Q000473:pathology; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008875:Middle Aged; D014591:Uterine Diseases / Q000175:diagnosis* / Q000473:pathology; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000473:pathology
L'isteroscopia quale metodo di valutazione nella patologia endometriale in climaterio.