A new hysteroscopic classification of and nomenclature for endometrial lesions.
OBJECTIVE
To establish a hysteroscopic classification of endometrial lesions based on a combined score:


METHODS
A prospective study to grade four features of endometrial lesions (thickness, surface, color, vascularization) and subdivide them as mild (low risk) and severe (high risk).


METHODS
Gynecologic endoscopy unit of an obstetric and gynecology clinic.


METHODS
Two hundred twenty-nine women with hysteroscopically diagnosed endometrial lesions.


METHODS
Hysteroscopic inspection of endometriotic lesions, with grading performed on the four features.


RESULTS
The sensitivity and specificity of our system were 86.9% and 87.4% for mild pathology, and 96% and 92.9% for severe pathology.


CONCLUSIONS
This hysteroscopic classification of endometrial pathology can be useful for a better definition of endometrial lesions. The method has good sensitivity and specificity.
Valli
E
E
Clinica Ostetrica e Ginecologica Universita di Roma Tor Vergata, Rome, Italy.
Zupi
E
E
D000026:Abortion, Habitual / Q000145:classification / Q000175:diagnosis / Q000473:pathology; D000230:Adenocarcinoma / Q000145:classification / Q000175:diagnosis / Q000473:pathology; D003116:Color; D016889:Endometrial Neoplasms / Q000145:classification / Q000175:diagnosis / Q000473:pathology; D004717:Endometrium / Q000098:blood supply / Q000473:pathology*; D005260:Female; D006801:Humans; D006965:Hyperplasia; D015907:Hysteroscopy; D007247:Infertility, Female / Q000145:classification / Q000175:diagnosis / Q000473:pathology; D007889:Leiomyoma / Q000145:classification / Q000175:diagnosis / Q000473:pathology; D011127:Polyps / Q000145:classification / Q000175:diagnosis / Q000473:pathology; D017698:Postmenopause; D011247:Pregnancy; D017697:Premenopause; D011446:Prospective Studies; D012307:Risk Factors; D012680:Sensitivity and Specificity; D009626:Terminology as Topic; D000267:Tissue Adhesions / Q000145:classification / Q000175:diagnosis / Q000473:pathology; D002583:Uterine Cervical Neoplasms / Q000145:classification / Q000175:diagnosis / Q000473:pathology; D014591:Uterine Diseases / Q000145:classification / Q000175:diagnosis / Q000473:pathology; D014592:Uterine Hemorrhage / Q000145:classification / Q000175:diagnosis / Q000473:pathology; D014599:Uterus / Q000002:abnormalities