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See-and-treat outpatient hysteroscopy: an analysis of 1109 examinations
Cagri Gulumser, Nitish Narvekar, Mamta Pathak, Elsa Palmer, Sarah Parker, Ertan Saridogan Reproductive BioMedicine Online Volume 20, Issue 3, Pages (March 2010) DOI: /j.rbmo Copyright © Terms and Conditions
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Figure 1 Outcome tree for subjects with a regular endometrial cavity on hysteroscopy examination. The incidence of pathology and cancer in the group with normal or thin endometrium was low (hyperplasia: 4/403, 1.0%; adenocarcinoma: 1/403, 0.25%) compared with group with thick (hyperplasia, 2/39, 5.1%; adenocarcinoma, 3/39, 7.7%) or suspected malignancy (adenocarcinoma: 2/6, 33.3%). *=endometrial biopsy showed adenocarcinoma in one patient and hyperplasia in another. Reproductive BioMedicine Online , DOI: ( /j.rbmo ) Copyright © Terms and Conditions
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Figure 2 Outcome tree for subjects with an irregular endometrial cavity on hysteroscopy examination. Of these, 328/609 (53.4%) were amenable to a see-and-treat approach and 190/609 (39.2%) of subjects underwent hysteroscopy treatment under general anaesthesia, 24 women with polyps and 56 women with fibroids decided not have treatment. Further treatment was not indicated in 11 women with Müllerian anomalies. The prevalence of associated endometrial pathology was small (hyperplasia: 5/609, 0.8%; carcinoma: 5/609, 0.8%). *=endometrial biopsy showed adenocarcinoma in one patient and hyperplasia in another. Reproductive BioMedicine Online , DOI: ( /j.rbmo ) Copyright © Terms and Conditions
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