Risk of finding an endometrial cancer when atypical hyperplasia was incidentally diagnosed on hysteroscopic resection products.
OBJECTIVE
To evaluate the risk of discovering an endometrial cancer when atypical hyperplasia was diagnosed by histologic examination of hysteroscopic resection products.


METHODS
A retrospective monocentric study from January 1994 to January 2001. Seventeen patients with atypical hyperplasia were included. Initial endometrial status was provided by operative hysteroscopy resection products. For all patients, there was no hysteroscopical aspect evocative of adenocarcinoma. Histopathological analysis of the hysterectomy pieces precised the final diagnosis.


RESULTS
Among the 17 hysterectomy pieces, one adenocarcinoma was diagnosed. Risk for discovering adenocarcinoma when atypical hyperplasia was diagnosed by operative hysteroscopy resection products was 5.9% (1/17).


CONCLUSIONS
Risk of omitting adenocarcinoma when atypical hyperplasia is discovered by hysteroscopy resection pieces is low.
Agostini
Aubert
A
Service de Gynécologie Obstétrique, Hôpital La Conception, 147 Boulevard Baille, 13385 Marseille Cedex 05, France. aagostini@mail.ap-hm.fr
Cravello
Ludovic
L
Shojai
Raha
R
Schaeffer
Véronique
V
Bretelle
Florence
F
Roger
Valérie
V
Blanc
Bernard
B
D000230:Adenocarcinoma / Q000175:diagnosis / Q000473:pathology; D000328:Adult; D000368:Aged; D004714:Endometrial Hyperplasia / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D016889:Endometrial Neoplasms / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D015907:Hysteroscopy; D008875:Middle Aged