Usefulness of biopsy by office hysteroscopy for endometrial cancer: A case report
Usefulness of biopsy by office hysteroscopy for endometrial cancer: A case report
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DOI：
10.3892/mco.2020.2053
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发表时间：
2020-08-01
影响因子：
1.2
通讯作者：
Fujii, Tomoyuki
中科院分区：
文献类型：
--
作者：
Sone, Kenbun;Eguchi, Satoko;Fujii, Tomoyuki
子宫内膜癌的诊断性活检是通过扩张和刮除术（D&C）进行的。然而，D&C可能会错过子宫内膜癌病变，由于其“盲目”的做法。宫腔镜检查是一种有用的方法，可用于检测子宫内膜癌病变。此外，宫腔镜检查易于安排，不需要麻醉。患者为40岁女性，疑似子宫内膜癌;然而，住院期间使用宫腔镜进行的D&C和活检无法诊断。在增生期的宫腔镜检查表明，可疑的子宫内膜癌病变是最小的子宫峡部与非典型血管和一个白色斑点，活检。病理诊断为鳞状细胞样癌，G1。因此，进行了腹腔镜全子宫切除术、双侧输卵管卵巢切除术和盆腔淋巴结清扫术。在这种情况下，很难检测到分泌期的微小病变，因为子宫内膜厚度隐藏了子宫内膜癌。在增殖期容易进行宫腔镜检查。此病例显示，宫腔镜检查对于微小病变的诊断及活检是一种有用的方法。
A diagnostic biopsy for endometrial cancer is performed via dilation and curettage (D&C). However, D&C may miss endometrial cancer lesions due to of its 'blind' approach. Hysteroscopy is a useful method that can be used to detect endometrial cancer lesions. In addition, office hysteroscopy is easy to be scheduled and does not require anesthesia. The patient was a 40-year-old woman with suspected endometrial cancer; however, it could not be diagnosed by D&C and biopsy using hysteroscopy during hospitalization. Office hysteroscopy during the proliferative phase indicated that the suspicious endometrial cancerous lesion was minimal at the isthmus of the uterus with atypical vessels and a white spot, for which biopsy was performed. Pathological diagnosis was endometrioid carcinoma with squamous differentiation, G1. Therefore, total laparoscopic hysterectomy, bilateral salpingo-oophorectomy and pelvic lymphadenectomy were performed. In this case, it was difficult to detect minimal lesion in the secretory phase because the endometrial thickness hid the endometrial cancer. It is easy to perform office hysteroscopy in the proliferative phase. This case indicated that office hysteroscopy is a useful method to diagnose and perform biopsy for minimal lesions.