Hysteroscopy to detect Stage IA well-differentiated XXXX .

@entity1204 @entity1 @entity2337 @entity5 @entity1066 @entity1871 @entity3 @entity4348
BACKGROUND: Well-differentiated Stage IA @entity1204 may be managed conservatively with @entity1871 treatment. However, even advanced imaging methods cannot overcome limitations in the correct determination of the absence of early microscopic @entity3 by @entity1204 . Hysteroscopy has not yet been investigated as a tool for this purpose. METHODS: Of 97 @entity1 with well-differentiated @entity4348 , 87 whose @entity5 were clinically confined to the uterine corpus were enrolled for inclusion in this study. The preoperative hysteroscopic appearance was correlated with the histological findings of the hysterectomy specimen. RESULTS: Post-surgical FIGO stage was Stage IA in 36 cases, IB in 29, @entity2337 in 16, IIA in one, and Stage IIIA/C in five cases. Before surgery, the growth pattern of the disease was hysteroscopically diagnosed as pedunculated in 69.0% and sessile nodular in 31.0%. Surface @entity1066 was observed in 23.3% of the pedunculated @entity5 and in 74.1% of the @entity5 ( p < 0.0001), and in 39.1% of all @entity5 . The incidence of absent @entity3 was significantly higher in the pedunculated @entity5 (56.3%) than in the @entity5 (3.7%) ( p < 0.0001) and was higher in the nonulcerated @entity5 (64.2%) than in the @entity5 (5.9%) ( p < 0.0001). When the statistical parameters were calculated in combination with the @entity5 growth pattern and the absence or presence of @entity1066 , the nonulcerated pedunculated growth pattern had a sensitivity of 92% and a positive predictive value of 72% for correct selection of Stage IA disease with no @entity3 . CONCLUSION: Well-differentiated @entity4348 was categorized by hysteroscopy into two growth patterns of pedunculated or sessile and with or without surface @entity1066 . This provided useful pretreatment diagnosis of Stage IA disease confined to the endometrium.
