[Early diagnosis of premalignant and malignant lesions of the endometrium. Evaluation of a device for collecting intrauterine samples (the Inocurette) compared with exploratory curettage].
Screening methods for detecting more accurately carcinoma of the endometrium is becoming increasingly important because of the rising incidence of the condition. Inocurette has recently been invented to combine a scraping action with suction. This study investigates 385 patients who were admitted for diagnostic curettage or hysterectomy to which were added a series of 120 patients who were examined as out patients. Inocurette has a sensitivity of 86% and a specificity of 99%. It therefore can be considered as a reliable method of screening for the limits within which fractional diagnostic curettage should be used. Marked pain and great difficulty in introducing the apparatus made its use limited in respectively 15% and 14.5% of cases. So, the method is acceptable and useful within these limits. The results could be improved if on the one hand a thinner apparatus could be designed and on the other hand a substance could be found to soften the cervix so that it became easier to introduce the apparatus.
D000230:Adenocarcinoma / Q000175:diagnosis; D000328:Adult; D003581:Cytodiagnosis / Q000295:instrumentation*; D003937:Diagnosis, Differential; D004107:Dilatation and Curettage; D005260:Female; D006801:Humans; D006965:Hyperplasia; D008875:Middle Aged; D011127:Polyps / Q000175:diagnosis; D011230:Precancerous Conditions / Q000175:diagnosis*; D014591:Uterine Diseases / Q000175:diagnosis; D014594:Uterine Neoplasms / Q000175:diagnosis*; D014599:Uterus / Q000473:pathology
Le diagnostic précoce des lésions prémalignes et malignes de l'endomètre. Evaluation d'un dispositif de prélèvement intra-utérin (Inocurette) par comparaison avec le curetage explorateur.