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Revista chilena de obstetricia y ginecología

versão impressa ISSN 0048-766Xversão On-line ISSN 0717-7526

Resumo

GOYCOOLEA T, Juan Pablo  e  ROJAS T, Iván. HISTEROSCOPIA DIAGNÓSTICA: RENDIMIENTO EN EL ESTUDIO DE LA METRORRAGIA E INOCUIDAD ANTE UN EVENTUAL CÁNCER DE ENDOMETRIO, REVISIÓN DE LA LITERATURA. Rev. chil. obstet. ginecol. [online]. 2007, vol.72, n.3, pp.190-196. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262007000300011.

Objective: To asses the accuracy of diagnostic hysteroscopy in the study of endometrium in patients with abnormal bleeding and to determine the risks of this procedure in patients with endometrial cancer. Methods: Non systematic review of MEDLINE based literature and manual search of relevant articles references. Results: Seven meta-analysis were identified. They included 43,757 patients who underwent through different endometrial diagnostic tests. In this data, diagnostic accuracy of hysteroscopy was compared against endometrial sampling, transvaginal ultrasound and hysterosonography. The gold standard was the anatomo pathologic findings. Hysteroscopy and endometrial sampling were found to have the highest specificitiy, which make them useful tests in the management of women with abnormal endometrial thickness in transvaginal ultrasound. Authorized recommendations were reviewed as well as the evidence in favor and against of performing hysteroscopy in endometrial cancer patients. Conclusion: There is neither enough evidence to support the safety of diagnostic hysteroscopy in this group of patients, nor to state that the procedure correlates with worse prognosis. Based on the existing evidence, the authors propose a study protocol of abnormal uterine bleeding in different clinical settings, considering the general advice to avoid hysteroscopy as possible in high risk patients for endometrial cancer

Palavras-chave : Hysteroscopy; meta-analysis; endometrial cancer; abnormal uterine bleeding; postmenopausal bleeding.

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