[The evaluation of different methods of paraclinical diagnosis in endometrial hyperplasia and endometrial cancer of women in perimenopause].
Almost all types of endometrial pathology in perimenopause have the same clinical features. That's why the paraclinical methods are the most useful for diagnosis.


OBJECTIVE
To find which of the following: Pap smear, sonography, hysterography or hysteroscopy is more appropriate for the diagnosis.


METHODS
We investigated 218 cases of endometrial hyperplasias and 57 of endometrial cancer between 45-74 years old. The final diagnosis was settled by pathological exam.


RESULTS
For both of them the Pap smears has no significance; hysterography is not specific and old fashioned; the sonography may diagnose the disease but the hysteroscopy put the diagnosis in 87% cases of endometrial hyperplasias. In endometrial cancer the sonography separate the normal cases from the suspects and the hysteroscopy put the diagnosis in all cases but can not appreciate the myometrial invasion.


CONCLUSIONS
There is no paraclinical method to be used alone for a correct diagnosis. Sonography can choose, hysteroscopy and biopsy put the diagnosis and treat.
Flaişer
Corina
C
Facultatea de Medicină, Clinica a III-a Obstetrică-Ginecologie, Universitatea de Medicină si Farmacie "Gr.T. Popa" Iaşi.
Buţureanu
St
S
Abushab
S
S
D000368:Aged; D001706:Biopsy; D004714:Endometrial Hyperplasia / Q000175:diagnosis*; D016889:Endometrial Neoplasms / Q000175:diagnosis*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods; D008875:Middle Aged; D065006:Papanicolaou Test; D047648:Perimenopause; D017698:Postmenopause; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000175:diagnosis; D014626:Vaginal Smears