子宮内膜癌の細胞診  子宮内膜細胞診とセルブロック法組織診・ピペットキューレット法組織診を比較して

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  • Cytological of endometrial carcinoma. Efficacy of sunction biopsy with Pipet curet compared with endometrial cytology.

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Objective: Endometrial suction biopsy is recommended to detect endometrial hyperplasia and carcinoma in the US. We evaluated the efficacy of endometrial suction biopsy.<BR>Study design: We conducted simultaneous suction biopsy with a pipet curet (Milex) and endometrial cytology and histology in cell block specimens with Endosearch and Endocyte for 84 patients.<BR>Results: 1) The difficulty and pain of insertion into the uterine cavity were almost same with both the pipet curet and Endosearch.<BR>2) In 4 patients, specimens from the pipet curet were too scanty for histological diagnosis. These patients averaged 56 years of age, were all menopausal, and showed endometrial thinning in transvaginal ultrasonography.<BR>3) In 60 patients with negative cytology, suction biopsy revealed 3 with simple hyperplasia and 3 with complex hyperplasia. In 12 patients with suspicious sytology, 8 were normal and 1 each diagnosed with simple hyperplasia, complex hyperplasia, atypical complex hyperplasia, and adenocarcinoma.<BR>4) Endometrial glands in a specimen from the pipet curet numbered about 2 to 127 times that in a cell block specimen with Endosearch.<BR>Conclusion: We found suction biopsy with the pipet curet to be useful. with Endosearch.

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