title: Risk of finding an endometrial cancer when atypical hyperplasia was incidentally diagnosed on hysteroscopic resection products.
abstract: 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.
authors.affiliation: Service de Gynécologie Obstétrique, Hôpital La Conception, 147 Boulevard Baille, 13385 Marseille Cedex 05, France. aagostini@mail.ap-hm.fr
authors.forename: Aubert
authors.initials: A
authors.lastname: Agostini
authors.forename: Ludovic
authors.initials: L
authors.lastname: Cravello
authors.forename: Raha
authors.initials: R
authors.lastname: Shojai
authors.forename: Véronique
authors.initials: V
authors.lastname: Schaeffer
authors.forename: Florence
authors.initials: F
authors.lastname: Bretelle
authors.forename: Valérie
authors.initials: V
authors.lastname: Roger
authors.forename: Bernard
authors.initials: B
authors.lastname: Blanc
mesh_terms: 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