Endometrial hyperplasia other diagnostic studies: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Endometrial hyperplasia}} | {{Endometrial hyperplasia}} | ||
{{CMG}}{{AE}} {{ | {{CMG}}{{AE}} {{Swathi}} | ||
==Overview== | ==Overview== | ||
Hysteroscopy may be helpful in the direct visualization of precancerous lesions.<ref name="pmid23090535">{{cite journal| author=Trimble CL, Method M, Leitao M, Lu K, Ioffe O, Hampton M et al.| title=Management of endometrial precancers. | journal=Obstet Gynecol | year= 2012 | volume= 120 | issue= 5 | pages= 1160-75 | pmid=23090535 | doi=http://10.1097/AOG.0b013e31826bb121 | pmc=PMC3800154 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23090535 }} </ref> | [[Hysteroscopy]] may be helpful in the direct [[Visualization (cam)|visualization]] of [[precancerous]] [[lesions]].<ref name="pmid23090535">{{cite journal| author=Trimble CL, Method M, Leitao M, Lu K, Ioffe O, Hampton M et al.| title=Management of endometrial precancers. | journal=Obstet Gynecol | year= 2012 | volume= 120 | issue= 5 | pages= 1160-75 | pmid=23090535 | doi=http://10.1097/AOG.0b013e31826bb121 | pmc=PMC3800154 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23090535 }} </ref> [[Diagnosis]] of [[endometrial hyperplasia]] is usually performed through [[curettage]] of the [[uterine]] [[cavity]] to obtain [[endometrial]] [[Tissue (biology)|tissue]] for [[histopathologic]] [[analysis]].<ref name="pmid18021979">{{cite journal| author=Bobrowska K, Pietrzak B, Jabiry-Zieniewicz Z, Cyganek A, Kaminski P, Wielgos M et al.| title=Operative treatment of endometrial hyperplasia in kidney graft recipients: report of seven cases. | journal=Transplant Proc | year= 2007 | volume= 39 | issue= 9 | pages= 2756-8 | pmid=18021979 | doi=10.1016/j.transproceed.2007.09.023 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18021979 }} </ref> | ||
==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
===Hysteroscopy=== | ===Hysteroscopy=== | ||
*Hysteroscopy may be helpful in the direct visualization of precancerous lesions. <ref name="pmid23090535">{{cite journal| author=Trimble CL, Method M, Leitao M, Lu K, Ioffe O, Hampton M et al.| title=Management of endometrial precancers. | journal=Obstet Gynecol | year= 2012 | volume= 120 | issue= 5 | pages= 1160-75 | pmid=23090535 | doi=http://10.1097/AOG.0b013e31826bb121 | pmc=PMC3800154 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23090535 }} </ref> | *[[Hysteroscopy]] may be helpful in the direct [[Visualization (cam)|visualization]] of [[precancerous]] [[lesions]].<ref name="pmid23090535">{{cite journal| author=Trimble CL, Method M, Leitao M, Lu K, Ioffe O, Hampton M et al.| title=Management of endometrial precancers. | journal=Obstet Gynecol | year= 2012 | volume= 120 | issue= 5 | pages= 1160-75 | pmid=23090535 | doi=http://10.1097/AOG.0b013e31826bb121 | pmc=PMC3800154 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23090535 }} </ref> | ||
*A histopathology sample including any discrete lesions along with the surrounding normal endometrium may be helpful in the diagnosis of precancerous lesions.<ref name="pmid23090535">{{cite journal| author=Trimble CL, Method M, Leitao M, Lu K, Ioffe O, Hampton M et al.| title=Management of endometrial precancers. | journal=Obstet Gynecol | year= 2012 | volume= 120 | issue= 5 | pages= 1160-75 | pmid=23090535 | doi=http://10.1097/AOG.0b013e31826bb121 | pmc=PMC3800154 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23090535 }} </ref> | *A [[histopathology]] [[Sample (statistics)|sample]] including any discrete [[lesions]] along with the surrounding [[normal]] [[endometrium]] may be helpful in the [[diagnosis]] of [[precancerous]] [[lesions]].<ref name="pmid23090535">{{cite journal| author=Trimble CL, Method M, Leitao M, Lu K, Ioffe O, Hampton M et al.| title=Management of endometrial precancers. | journal=Obstet Gynecol | year= 2012 | volume= 120 | issue= 5 | pages= 1160-75 | pmid=23090535 | doi=http://10.1097/AOG.0b013e31826bb121 | pmc=PMC3800154 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23090535 }} </ref> | ||
===D&C=== | ===D&C=== | ||
*Diagnosis of endometrial hyperplasia is usually performed through [[curettage]] of the uterine cavity to obtain endometrial tissue for histopathologic analysis.<ref name="pmid18021979">{{cite journal| author=Bobrowska K, Pietrzak B, Jabiry-Zieniewicz Z, Cyganek A, Kaminski P, Wielgos M et al.| title=Operative treatment of endometrial hyperplasia in kidney graft recipients: report of seven cases. | journal=Transplant Proc | year= 2007 | volume= 39 | issue= 9 | pages= 2756-8 | pmid=18021979 | doi=10.1016/j.transproceed.2007.09.023 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18021979 }} </ref> | *[[Diagnosis]] of [[endometrial hyperplasia]] is usually performed through [[curettage]] of the [[uterine cavity]] to obtain endometrial tissue for histopathologic analysis.<ref name="pmid18021979">{{cite journal| author=Bobrowska K, Pietrzak B, Jabiry-Zieniewicz Z, Cyganek A, Kaminski P, Wielgos M et al.| title=Operative treatment of endometrial hyperplasia in kidney graft recipients: report of seven cases. | journal=Transplant Proc | year= 2007 | volume= 39 | issue= 9 | pages= 2756-8 | pmid=18021979 | doi=10.1016/j.transproceed.2007.09.023 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18021979 }} </ref> | ||
===Flowchart=== | ===Flowchart=== | ||
*The following flow-chart shows a decision algorithm for the management of symptomatic postmenopausal women with endometrial thickness > 4 mm:<ref name="pmid24991535">{{cite journal| author=Giannella L, Mfuta K, Setti T, Cerami LB, Bergamini E, Boselli F| title=A risk-scoring model for the prediction of endometrial cancer among symptomatic postmenopausal women with endometrial thickness > 4 mm. | journal=Biomed Res Int | year= 2014 | volume= 2014 | issue= | pages= 130569 | pmid=24991535 | doi=10.1155/2014/130569 | pmc=PMC4065750 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24991535 }} </ref> | *The following flow-chart shows a decision algorithm for the management of symptomatic [[postmenopausal]] women with endometrial thickness > 4 mm:<ref name="pmid24991535">{{cite journal| author=Giannella L, Mfuta K, Setti T, Cerami LB, Bergamini E, Boselli F| title=A risk-scoring model for the prediction of endometrial cancer among symptomatic postmenopausal women with endometrial thickness > 4 mm. | journal=Biomed Res Int | year= 2014 | volume= 2014 | issue= | pages= 130569 | pmid=24991535 | doi=10.1155/2014/130569 | pmc=PMC4065750 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24991535 }} </ref> | ||
<gallery> | <gallery> | ||
Image:Postmenopausal_bleeding_assessment.jpg|Flow-chart | Image:Postmenopausal_bleeding_assessment.jpg|Flow-chart<ref name="pmid24991535">{{cite journal| author=Giannella L, Mfuta K, Setti T, Cerami LB, Bergamini E, Boselli F| title=A risk-scoring model for the prediction of endometrial cancer among symptomatic postmenopausal women with endometrial thickness > 4 mm. | journal=Biomed Res Int | year= 2014 | volume= 2014 | issue= | pages= 130569 | pmid=24991535 | doi=10.1155/2014/130569 | pmc=PMC4065750 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24991535 }} </ref> | ||
</gallery> | </gallery> | ||
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Latest revision as of 05:15, 9 May 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Swathi Venkatesan, M.B.B.S.[2]
Overview
Hysteroscopy may be helpful in the direct visualization of precancerous lesions.[1] Diagnosis of endometrial hyperplasia is usually performed through curettage of the uterine cavity to obtain endometrial tissue for histopathologic analysis.[2]
Other Diagnostic Studies
Hysteroscopy
- Hysteroscopy may be helpful in the direct visualization of precancerous lesions.[1]
- A histopathology sample including any discrete lesions along with the surrounding normal endometrium may be helpful in the diagnosis of precancerous lesions.[1]
D&C
- Diagnosis of endometrial hyperplasia is usually performed through curettage of the uterine cavity to obtain endometrial tissue for histopathologic analysis.[2]
Flowchart
- The following flow-chart shows a decision algorithm for the management of symptomatic postmenopausal women with endometrial thickness > 4 mm:[3]
-
![Flow-chart[3]](/images/0/0a/Postmenopausal_bleeding_assessment.jpg)
Flow-chart[3]
![Flow-chart[3]](/index.php/File:Postmenopausal_bleeding_assessment.jpg)
References
- ↑ 1.0 1.1 1.2 Trimble CL, Method M, Leitao M, Lu K, Ioffe O, Hampton M; et al. (2012). "Management of endometrial precancers". Obstet Gynecol. 120 (5): 1160–75. doi:http://10.1097/AOG.0b013e31826bb121 Check
|doi=value (help). PMC 3800154. PMID 23090535. - ↑ 2.0 2.1 Bobrowska K, Pietrzak B, Jabiry-Zieniewicz Z, Cyganek A, Kaminski P, Wielgos M; et al. (2007). "Operative treatment of endometrial hyperplasia in kidney graft recipients: report of seven cases". Transplant Proc. 39 (9): 2756–8. doi:10.1016/j.transproceed.2007.09.023. PMID 18021979.
- ↑ 3.0 3.1 Giannella L, Mfuta K, Setti T, Cerami LB, Bergamini E, Boselli F (2014). "A risk-scoring model for the prediction of endometrial cancer among symptomatic postmenopausal women with endometrial thickness > 4 mm". Biomed Res Int. 2014: 130569. doi:10.1155/2014/130569. PMC 4065750. PMID 24991535.