6533b82cfe1ef96bd128f6e3

RESEARCH PRODUCT

Endometrial carcinoma and its precursors: Early detection and treatment

G. GilardiLuca MencagliaR.f. ValleAntonio Perino

subject

medicine.medical_specialtyTime FactorsBiopsyHysteroscopyEarly TherapyEndometriumDilatation and CurettageRisk FactorsmedicineCarcinomaHumansUltrasonographyGynecologymedicine.diagnostic_testEpitheliomabusiness.industryObstetrics and GynecologyGeneral MedicineHyperplasiamedicine.diseaseEndometrial hyperplasiaEndoscopymedicine.anatomical_structureHysteroscopyEndometrial HyperplasiaUterine NeoplasmsFemalebusiness

description

Endometrial carcinoma is the most frequent genital neoplasia in women. Precursors of this condition include endometrial hyperplasia, particularly when cytologic atypia occurs. Among the frequent early clinical manifestations of endometrial carcinoma is abnormal uterine bleeding that must be differentiated from bleeding associated with benign conditions. Early detection of endometrial carcinoma and its precursors in women at risk is the best prophylactic measure in the final therapeutic outcome. In this review, the accuracy of methods of early diagnosis of endometrial carcinoma and its precursors is assessed, in order to provide early therapy and optimum prognosis. The epidemiology of endometrial carcinoma, as well as the risk factors for the development of this neoplasia, are also reviewed. A histologic classification of endometrial hyperplasia and carcinoma of the endometrium, based on current theories of histopathogenesis, is included.

https://doi.org/10.1016/0020-7292(90)90706-q