کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6146478 | 1594944 | 2012 | 5 صفحه PDF | دانلود رایگان |
ObjectiveWe sought to evaluate whether hysteroscopy in patients with endometrial cancer had an effect on disease stage or mortality.Study DesignThis was a retrospective cohort analysis of data linked between a registry of women diagnosed with endometrial cancer and physician billing data on hysteroscopy.ResultsA 99.8% match rate was obtained. Eighty-five percent of cases had complete data on staging. Of these 1972 cases, 672 (34.1%) had undergone hysteroscopy. There was no difference in stage III disease between the hysteroscopy (7.1%) vs no hysteroscopy (6.5%) group (P = .38). There was also no difference in death rates, 13.2% vs 15.2% (P = .25), or in the proportion of women dying of female genital organ cancer, 46.1% vs 42.1% (P = .53), respectively.ConclusionHysteroscopy is not associated with a higher rate of stage III disease or mortality. It allows for accurate diagnosis with direct visualization and biopsy, and should be considered a safe diagnostic tool.
Journal: American Journal of Obstetrics and Gynecology - Volume 207, Issue 1, July 2012, Pages 71.e1-71.e5