Diagnostic hysteroscopy in endometrial hyperplasia.
OBJECTIVE
To assess the reproducibility of hysteroscopic diagnosis in the various types of endometrial hyperplasias and to compare different classifications of endometrial hyperplasia from this point of view.


METHODS
109 endometrial hyperplasias, diagnosed in the last 5 years with hysteroscopy, were all biopsied and had a pathological examination. We tried to estimate the accuracy of hysteroscopy comparing the various classifications of endometrial hyperplasia to the final pathologic diagnosis.


RESULTS
Using older endometrial hyperplasia classification, the overall diagnostic accuracy of hysteroscopy was 76% as for the correct type of hyperplasia. Classifying them at hysteroscopy into two categories only, i.e. hyperplasias and neoplasias, gave a more accurate result (90.26%).


CONCLUSIONS
The newer classification is better from the hysteroscopist's point of view.
Department of Obstetrics and Gynecology, University of Medicine of Iasi, Iasi, Romania. buturean@mail.dntis.ro
Stefan A
SA
Butureanu
Razvan M
RM
Socolov
Florentina
F
Pricop
Dumitru M
DM
Gafitanu
D003937:Diagnosis, Differential; D004714:Endometrial Hyperplasia / Q000145:classification* / Q000473:pathology*; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity