[Value of hysteroscopy and dilatation and curettage in diagnosis of endometrial carcinoma].
OBJECTIVE
To discuss the value of hysteroscopy and fractional dilatation and curettage (D&C) in endometrial carcinoma diagnosis.


METHODS
Assort 156 endometrium carcinoma patients of our hospital to two groups, examined by D&C (group A, 93 patients) or hysteroscopy (group B, 63 patients). Compared the diagnosis's veracity of the two methods.


RESULTS
In group A 34% (31/92) of patients' clinical stage was earlier than their surgical stage, 15% (14/92) of patients' clinical stage was later than their surgical stage, 75% (68/91) of involvement of cervical canal was estimated precisely, while the positive peritoneal cytology rate was 32% (23/71). In group B the rates were 43% (27/63), 3% (2/63), 90% (56/62) and 35% (18/51), respectively. There is no statistic difference between the two groups of the positive peritoneal cytology rate and the earlier clinical stage than surgical stage (P > 0.05), but there is statistic difference between the two groups in estimating the involvement of cervical canal and the earlier surgical stage than clinical stage (P < 0.05).


CONCLUSIONS
The hysteroscopy can discover the involvement of cervical mucosa more accurately in the endometrial carcinoma patients, but not improve the positive peritoneal cytology rate.
Wang
Wen
W
Department of Obstetrics and Gynecology, First Hospital, Beijing University, Beijing 100034, China.
Guo
Yanyan
Y
D000328:Adult; D004107:Dilatation and Curettage; D016889:Endometrial Neoplasms / Q000175:diagnosis*; D004717:Endometrium / Q000473:pathology; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008875:Middle Aged