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hysteroscopy

(01): Endometrial carcinoma (FIGO I)

(02): Submucous myoma

(03): Adenomyosis

(04): Uterine fibroids

(05): Placental retention

(06): Submucous myoma


cystoscopy

(01): Bladder diverticulum

(02): Vesico-vaginal fistula caused by abdominal hysterectomy

(03): Normal bladder mucosa

(04): Ureteral meatus


Submitted by hysteroscopy on Sun, 2006-09-10 03:56.

ONCOLOGY: CASE REPORT (Image 01)

Submitted by hysteroscopy on Sun, 2006-10-08 16:26.
 
The following video sequence and pictures demonstrates the importance of combining a 'blind' curettage with hysteroscopy.
 
Video: staging of endometrial carcinoma.
 
A 40 year old woman (para 0) presents with a history of unexplained vaginal bleeding. She is status post-D&C in an outward clinic. Based on the histology of the curettage, a light-celled adenocarcinoma of the endocervix was diagnosed. The patient was referred for a radical hysterectomy (Wertheim-Meigs).
 
A CO2 hysteroscopy was performed: it is evident that the corpus is filled with an endometrial tumour. Yet the isthmus and cervix are not involved. By combining the histology with the hysteroscopic finding, the diagnosis of cervical adenocarcinoma was changed to endometrial cancer, FIGO I.
 
Source:
Modern Clinical Technical Hysteroscopy (CD-ROM)
Authors: Van Belle and Van der Pas
Several contributors
Lasion Europe nv
 
See also: 

Afonso JS, Screening and diagnosis of endometrial cancer (review)

Ben-Yehuda OM, Kim YB, Leuchter RS. Does hysteroscopy improve upon the sensitivity of dilatation and curettage in the diagnosis of endometrial hyperplasia or carcinoma? PMID: 9454651 [PubMed - indexed for MEDLINE] 

Leveque J, Goyat F, Dugast J, Loeillet L, Grall JY, Le Bars S. Value of peritoneal cytology after hysteroscopy in endometrial adenocarcinoma stage I. PMID: 9923115 [PubMed - indexed for MEDLINE]

Obermair A, Geramou M, Gucer F, Denison U, Graf AH, Kapshammer E, Neunteufel W, Frech I, Kaider A, Kainz C. Does hysteroscopy facilitate tumor cell dissemination? Incidence of peritoneal cytology from patients with early stage endometrial carcinoma following dilatation and curettage (D & C) versus hysteroscopy and D & C. PMID: 10618616 [PubMed - indexed for MEDLINE]

Lo KW, Cheung TH, Yim SF, Yu MY, Chan LY, Chung TK. Prospective self-controlled study on prevention of hysteroscopic dissemination in endometrial carcinoma. PMID: 15361204 [PubMed - indexed for MEDLINE]

Lo KW, Cheung TH, Yim SF, Chung TK. Preoperative hysteroscopic assessment of cervical invasion by endometrial carcinoma: a retrospective study. PMID: 11531280 [PubMed - indexed for MEDLINE]

Lo KW, Cheung TH, Yim SF, Chung TK. Hysteroscopic dissemination of endometrial carcinoma using carbon dioxide and normal saline: a retrospective study. PMID: 11855876 [PubMed - indexed for MEDLINE]

Selvaggi L, Cormio G, Ceci O, Loverro G, Cazzolla A, Bettocchi S. Hysteroscopy does not increase the risk of microscopic extrauterine spread in endometrial carcinoma. PMID: 12657128 [PubMed - indexed for MEDLINE]