Office hysteroscopic evaluation of endometrium: can we hit the target?
OBJECTIVE
The objective was to determine the value of office hysteroscopy in the diagnosis of endometrial hyperplasia by comparing the patients who had hysteroscopic diagnosis of hyperplasia with the results of histopathologic examinations, and to try to describe the visual criteria.


METHODS
Two hundred and sixteen premenopausal and 114 postmenopausal patients who were admitted to the endoscopic surgery department between January 2000 and March 2001 were enrolled. Visual diagnoses of endometrial hyperplasia with office hysteroscopy were compared with the histopathological results of the endometrial specimen.


RESULTS
Pathology confirmed 50 of the 70 hysteroscopically-diagnosed hyperplasia patients. The positive predictive value of office hysteroscopy was 71.4% and the negative predictive value was 95.4% in the diagnosis of endometrial hyperplasia.


CONCLUSIONS
The accuracy of hysteroscopic evaluation of the uterine cavity is extremely encouraging. Office hysteroscopy, which has a high diagnostic reliability and minimal discomfort, appears to be an ideal method of diagnosis and follow-up of patients with endometrial hyperplasia.
Arslan
Selcuk
S
Dr. Zekai Tahir Burak Woman Health Education and Training Hospital, Ankara, Turkey.
Aytan
Hakan
H
Gunyeli
Ilker
I
Koc
Onder
O
Tuncay
Gorkem
G
Tapisiz
Omer L
OL
D000328:Adult; D004714:Endometrial Hyperplasia / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008593:Menopause; D008875:Middle Aged; D009819:Office Visits; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity; D014592:Uterine Hemorrhage / Q000175:diagnosis / Q000209:etiology