title: Pattern Recognition to Prognosticate Endometrial Cancer: The Science Behind the Art of Office Hysteroscopy-A Retrospective Study.
abstract: OBJECTIVE
  This study aimed to evaluate a specific glomerular pattern for prognostication of endometrial cancer (EC).
  
  
  METHODS
  The office hysteroscopy's picture and video of 4197 women were reviewed, 48 women who were suspected of type I EC were analyzed: 26 have glomerular pattern (group 1) and 22 without it (group 2).
  
  
  RESULTS
  The histopathological grading after hysterectomy with glomerular pattern had grade 2 or grade 3 disease on final histology (n = 25; 96%). The sensitivity and specificity of this test were 84.6% and 81.8%, respectively, with a likelihood ratio of 4:6 in predicting and prognosticating those women who have high-grade tumor or invasive disease.
  
  
  CONCLUSIONS
  This hysteroscopic picture might be used as a novel marker for risk stratification of EC.
authors.affiliation: *Division of Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou Chang Gung University School of Medicine, Tao-Yuan, Taiwan; †Department of Obstetrics and Gynecology, KMC Manipal, Manipal University, Karnataka, India; ‡Graduate Institute of Clinical Medical Sciences, Chang Gung University School of Medicine, Tao-Yuan, Taiwan; and §Department of Obstetrics and Gynecology, Chang GungMemorial Hospital at Keelung & Lovers Lake Branch, Keelung City, Taiwan.
authors.forename: Hsuan
authors.initials: H
authors.lastname: Su
authors.forename: Deeksha
authors.initials: D
authors.lastname: Pandey
authors.forename: Ling-Yu
authors.initials: LY
authors.lastname: Liu
authors.forename: Chih-Feng
authors.initials: CF
authors.lastname: Yen
authors.forename: Chin-Jung
authors.initials: CJ
authors.lastname: Wang
authors.forename: Kuan-Gen
authors.initials: KG
authors.lastname: Huang
authors.forename: Chyi-Long
authors.initials: CL
authors.lastname: Lee
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery; D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D004714:Endometrial Hyperplasia / Q000473:pathology* / Q000601:surgery; D016889:Endometrial Neoplasms / Q000473:pathology* / Q000601:surgery; D004717:Endometrium / Q000473:pathology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy; D015907:Hysteroscopy / Q000379:methods*; D008875:Middle Aged; D060787:Neoplasm Grading; D010363:Pattern Recognition, Automated; D011379:Prognosis; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery