Knowledge of the exact clinical stage of cancer of the endometrium is useful to plan therapy and to determine prognosis. Precise staging is impossible at present, but hysteroscopy is a method which can be used to differentiate between stages I and II. We report the results obtained with hysteroscopy in the clinical staging of 96 patients with cancer of the endometrium. We had 11 false negatives and two false positives, giving a sensitivity of 44%, specificity of 97%, negative predictive value of 90%, positive predictive value of 78% and diagnostic accuracy of 89%. The high specificity of hysteroscopy proves its usefulness in the clinical staging of cancer of the endometrium but the sensitivity of the technique is not very high. A combination of hysteroscopy and deep biopsies of cervical tissue may increase the sensitivity of hysteroscopy and increase the reliability of a clinical study of cancer of the endometrium.
Usefulness of hysteroscopy in staging of endometrial carcinoma: Analysis of results obtained from 96 patients / LA SALA, Giovanni Battista; Torelli, M. G.; Dessanti, L.; Cigarini, C.; Sartori, F.. - In: GYNAECOLOGICAL ENDOSCOPY. - ISSN 0962-1091. - 1:2(1992), pp. 103-106.
Usefulness of hysteroscopy in staging of endometrial carcinoma: Analysis of results obtained from 96 patients
LA SALA, Giovanni Battista;
1992
Abstract
Knowledge of the exact clinical stage of cancer of the endometrium is useful to plan therapy and to determine prognosis. Precise staging is impossible at present, but hysteroscopy is a method which can be used to differentiate between stages I and II. We report the results obtained with hysteroscopy in the clinical staging of 96 patients with cancer of the endometrium. We had 11 false negatives and two false positives, giving a sensitivity of 44%, specificity of 97%, negative predictive value of 90%, positive predictive value of 78% and diagnostic accuracy of 89%. The high specificity of hysteroscopy proves its usefulness in the clinical staging of cancer of the endometrium but the sensitivity of the technique is not very high. A combination of hysteroscopy and deep biopsies of cervical tissue may increase the sensitivity of hysteroscopy and increase the reliability of a clinical study of cancer of the endometrium.
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