title: [Possibilities and limits of contact hysteroscopic assessment of the causes of postmenopausal bleeding ].
abstract: In this study, the contact-hysteroscopic findings are compared with the histopathological diagnosis of 168 patients who were treated for post-menopausal bleedings. The good diagnostic agreement between contact-hysteroscopy and histopathology in mostly benign alterations like atrophic endometrium (94.7%), polyposis (87.5%), mucosal polyps (88%) and myomas (100%) is not achieved in precancerous (77%) and cancerous (75%) lesions. Being an optical method, contact hysteroscopy necessarily fails in the evaluation of origin, dignity and degree of differentiation of malign lesions, and is no substitute for a histopathological diagnosis. Therefore, contact hysteroscopy may only provide additional information to dilatation and curettage and thus optimize results and diagnostic security.
authors.affiliation: Abteilung Frauenheilkunde, Christian-Albrechts-Universität.
authors.forename: F
authors.initials: F
authors.lastname: Buchholz
authors.forename: G
authors.initials: G
authors.lastname: Bonatz
authors.forename: K
authors.initials: K
authors.lastname: Semm
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology; D001284:Atrophy; D004714:Endometrial Hyperplasia / Q000473:pathology; D004717:Endometrium / Q000473:pathology; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology; D008875:Middle Aged; D011127:Polyps / Q000473:pathology; D014591:Uterine Diseases / Q000473:pathology*; D014592:Uterine Hemorrhage / Q000473:pathology*; D014594:Uterine Neoplasms / Q000473:pathology; D014599:Uterus / Q000473:pathology
vernacular_title: Möglichkeiten und Grenzen der kontakthysteroskopischen Abklärung postmenopausaler Blutungsursachen.