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Understanding the Endometrium at Menopause: A Hysteroscopist's View

The risk of premalignant and malignant endometrial pathologies increases in the postmenopausal period. Dilatation and curettage fail to diagnose one in ten endometrial pathologies. Hysteroscopy is the gold standard to evaluate the endometrial cavity. Hysteroscopy can identify malignant or benign pat...

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Detalles Bibliográficos
Autores principales: Telang, Milind, Tanvir, Tanvir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8569464/
https://www.ncbi.nlm.nih.gov/pubmed/34759706
http://dx.doi.org/10.4103/jmh.jmh_152_21
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author Telang, Milind
Tanvir, Tanvir
author_facet Telang, Milind
Tanvir, Tanvir
author_sort Telang, Milind
collection PubMed
description The risk of premalignant and malignant endometrial pathologies increases in the postmenopausal period. Dilatation and curettage fail to diagnose one in ten endometrial pathologies. Hysteroscopy is the gold standard to evaluate the endometrial cavity. Hysteroscopy can identify malignant or benign pathology with approximately 20% false-positive results. Hysteroscopy combined with biopsy increases the accuracy of diagnosis up to 100%. This pictorial review takes you through the hysteroscopic view of normal-looking postmenopausal atrophic uterus, cystic atrophy, benign endometrial pathologies, endometrial hyperplasia, endometrial cancer, tamoxifen-induced endometrial hyperplasia and histiocytic endometritis. The purpose of this pictorial review is to guide the operator in systematic evaluation of the endometrial cavity with special attention to the thickness of the endometrium, vascular architecture, location of the lesion and surface aberrations, which adds value to the diagnosis and management of endometrial pathologies.
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spelling pubmed-85694642021-11-09 Understanding the Endometrium at Menopause: A Hysteroscopist's View Telang, Milind Tanvir, Tanvir J Midlife Health Pictorial Review The risk of premalignant and malignant endometrial pathologies increases in the postmenopausal period. Dilatation and curettage fail to diagnose one in ten endometrial pathologies. Hysteroscopy is the gold standard to evaluate the endometrial cavity. Hysteroscopy can identify malignant or benign pathology with approximately 20% false-positive results. Hysteroscopy combined with biopsy increases the accuracy of diagnosis up to 100%. This pictorial review takes you through the hysteroscopic view of normal-looking postmenopausal atrophic uterus, cystic atrophy, benign endometrial pathologies, endometrial hyperplasia, endometrial cancer, tamoxifen-induced endometrial hyperplasia and histiocytic endometritis. The purpose of this pictorial review is to guide the operator in systematic evaluation of the endometrial cavity with special attention to the thickness of the endometrium, vascular architecture, location of the lesion and surface aberrations, which adds value to the diagnosis and management of endometrial pathologies. Wolters Kluwer - Medknow 2021 2021-10-16 /pmc/articles/PMC8569464/ /pubmed/34759706 http://dx.doi.org/10.4103/jmh.jmh_152_21 Text en Copyright: © 2021 Journal of Mid-life Health https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Pictorial Review
Telang, Milind
Tanvir, Tanvir
Understanding the Endometrium at Menopause: A Hysteroscopist's View
title Understanding the Endometrium at Menopause: A Hysteroscopist's View
title_full Understanding the Endometrium at Menopause: A Hysteroscopist's View
title_fullStr Understanding the Endometrium at Menopause: A Hysteroscopist's View
title_full_unstemmed Understanding the Endometrium at Menopause: A Hysteroscopist's View
title_short Understanding the Endometrium at Menopause: A Hysteroscopist's View
title_sort understanding the endometrium at menopause: a hysteroscopist's view
topic Pictorial Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8569464/
https://www.ncbi.nlm.nih.gov/pubmed/34759706
http://dx.doi.org/10.4103/jmh.jmh_152_21
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