From: Indications of diagnostic hysteroscopy, a brief review of the literature
Hysteroscopy in endometrial cancer | Summary of publication—Findings. | Year of study | Number of women | Type of publication |
---|---|---|---|---|
Tanizawa O et al. | No significant differences in the presence of intraperitoneal tumor cells. | 1991 | 1,040 | Observational |
Taddei GL et al. | Hysteroscopic evaluation of endometrial cavity and cervical canal in women with endometrial adenocarcinoma has beneficial effects on woman's survival rates. | 1994 | 235 | Observational |
Fay TN et al. | Hysteroscopic assessment of endometrial cavity efficient in the detection of pathological intrauterine lesions but only moderately successful determining physiological endometrial changes. | 1999 | 83 | Multicenter randomized double-blind control trial. |
Nagele F et al. | No significant difference in the spreading of endometrial malignant cells either by CO2 or N/S as a distention media for hysteroscopy. | 1999 | 30 | Prospective randomized self-controlled study |
Clark TJ et al. | The diagnostic accuracy of hysteroscopy is high for endometrial cancer and moderate for endometrial disease. | 2002 | 26,346 | Systemic quantitative review |
Revel A et al. | An increased risk of peritoneal contamination of malignant cells after hysteroscopy but with no evidence for the patients to face worsen prognosis. | 2004 | Â | Systemic review |
Takac I et al. | Diagnostic hysteroscopy significantly increases the risk of positive peritoneal cytology but not the risk of adnexal, abdominal or retroperitoneal lymph node metastases in women with endometrial cancer. | 2007 | 146 | Retrospective randomized trial |
De Sousa Damiao et al. | If hysteroscopy is performed under a low pressure of CO2, no spread of endometrial cells occur into the peritoneal cavity. | 2009 | 76 | Prospective longitudinal study |
Polyzos NP et al. | Hysteroscopy resulted in a significantly higher rate of malignant peritoneal cytology especially if the distention medium was N/S and the inflated media pressure exceeded 100Â mmHg. | 2010 | 1,015 | Systematic review and meta-analysis |