Diagnostic Accuracy of Endometrial Biopsy in Endometrial Carcinoma Grading, Correlated to the Amount of Tissue
Diagnostic Accuracy of Endometrial Biopsy in Endometrial Carcinoma Grading, Correlated to the Amount of Tissue

Author:

Publisher:

Published: 2017

Total Pages:

ISBN-13:

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BACKGROUND The diagnostic accuracy of endometrial biopsy has been related to the amount of tissue. In endometrial cancer (EC) there is only moderate agreement on tumor grade between preoperative endometrial sampling and final diagnosis with the lowest agreement for grade 2 carcinoma. Since the amount of preoperative endometrial tumor tissue has not yet been related to the degree of discordance, we aim to determine this relation with regard to final tumor type and grade.METHODOLOGY Within the European Network for Individualized Treatment of Endometrial Cancer (ENITEC), 582 preoperative endometrial biopsy samples of EC patients were retrospectively collected and classified into low-grade (grade 1-2) and high-grade carcinoma (grade 3). The endometrial tissue surface was digitally calculated using ImageJ software and the correlation between the amount of tissue and concordance of diagnosis was calculated.RESULTS Agreement on tumor grade between preoperative endometrial sampling and final diagnosis was 62.5%. Up- or downgrading was found in respectively 27.3% and 10.1%. Clinically relevant up- or downgrading was found in respectively 7.9% and 26.5% of the cases. Premalignant endometrial tissue contained less endometrium compared to malignant endometrium (4.4 vs. 19.3 mm2,p=0.03). Serous EC contained less endometrial tissue compared to non-serous high grade EC (13.0 vs. 19.1 mm2,p=0.01). The median endometrial tissue surfaces of grade 1-3 did not significantly differ from each other (18.7 vs. 19.8 vs. 24.1 mm2). Samples with a discordant diagnosis consisted of significantly more endometrial tissue compared to the concordant group (p=0.008).CONCLUSION Based on postoperative diagnosis, there is no difference in the amount of endometrial tissue between the different endometrial grades. However, there is a tendency to underestimate a sample with less and overestimate a sample with more endometrial tissue. Awareness is especially needed, in serous EC with in general less tissue. CONFLICT OF INTEREST none declared.

Management of Endometrial Cancer
Management of Endometrial Cancer

Author: Mansoor R. Mirza

Publisher: Springer

Published: 2019-08-26

Total Pages: 324

ISBN-13: 3319645137

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This practical reference book provides up-to-date, evidence-based multidisciplinary guidelines on the epidemiology, biology, diagnosis, and treatment of endometrial cancer. Individual chapters focus on topics such as hormonal interactions, cancer prevention, genetic classification and its clinical applications. Recent advances in diagnostic methods are described. The treatment-oriented chapters include coverage of the roles of lymphadenectomy and sentinel node dissection, surgical complications, radiation techniques, and chemotherapy in early-stage disease. Treatment options in advanced disease, including hormonal therapy and targeted therapy, are considered separately, as is the management of rare tumor types. The authors are international key opinion leaders. Summaries of the ESMO/ESGO/ESTRO guidelines on management are included. Each clinical chapter ends with a summary of recommendations with the level of evidence.

Diagnosis of Endometrial Biopsies and Curettings
Diagnosis of Endometrial Biopsies and Curettings

Author: Michael Mazur

Publisher: Springer Science & Business Media

Published: 2013-04-17

Total Pages: 365

ISBN-13: 1475739435

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A logical approach to formulating a pathologic diagnosis from the diverse array of tissue received in the surgical pathology laboratory. The authors are both prominent gynaecologic pathologists, and this book is the result of their long-running Short Course presented at the International Academy of Pathology. Illustrations show typical artefacts and distortion and explain their impact on diagnostic interpretation, and each chapter includes a section on "Clinical Queries and Reporting" that summarises the features to be discussed in the final pathology report. Here is a strongly didactic approach to one of the most frequently ordered pathological examinations. You find superb illustrations on virtually every page and fast answers to everyday questions since emphasis is placed on clinically relevant material: commonly encountered specimens, common problems and common diagnostic issues.

Molecular Genetics of Endometrial Carcinoma
Molecular Genetics of Endometrial Carcinoma

Author: Lora Hedrick Ellenson

Publisher: Springer

Published: 2016-12-01

Total Pages: 284

ISBN-13: 3319431390

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This comprehensive text provides a much-needed review of a disease that is currently garnering the interest of molecular biologists, translational scientists, and clinicians. The volume includes emerging developments in the molecular genetics of endometrial carcinoma. In addition to covering the basic genetics of endometrial carcinoma, chapters also cover a wide range of signaling pathways implicated in endometrial carcinoma. A section of the book includes a number of genetically engineered mouse models, which contribute to understanding the role of various genetic alterations in the development and progression of endometrial carcinoma. These models also provide preclinical models for developing effective targeted therapeutic approaches. Endometrial carcinoma is the most common malignancy of the female genital tract in the United States and the number of cases continues to increase around the world. This book is a meant to serve as a resource for a wide range of scientists, from molecular geneticists to signal transduction biologists, as well as to both clinicians and scientists interested in developing targeted therapeutic approaches for women with endometrial carcinoma.

Clinical Gynecology
Clinical Gynecology

Author: Eric J. Bieber

Publisher: Cambridge University Press

Published: 2015-04-23

Total Pages: 1127

ISBN-13: 1107040396

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Written with the busy practice in mind, this book delivers clinically focused, evidence-based gynecology guidance in a quick-reference format. It explores etiology, screening, tests, diagnosis, and treatment for a full range of gynecologic health issues. The coverage includes the full range of gynecologic malignancies, reproductive endocrinology and infertility, infectious diseases, urogynecologic problems, gynecologic concerns in children and adolescents, and surgical interventions including minimally invasive surgical procedures. Information is easy to find and absorb owing to the extensive use of full-color diagrams, algorithms, and illustrations. The new edition has been expanded to include aspects of gynecology important in international and resource-poor settings.

Endometriosis
Endometriosis

Author: Togas Tulandi

Publisher: CRC Press

Published: 2003-12-09

Total Pages: 303

ISBN-13: 0824758641

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Addresses new concepts and theories in disease control and provides the latest treatment modalities. Dedicated to new developments in the medical and surgical treatment of endometriosis, this reference delves into current management controversies, examines emerging therapeutic strategies, and assists specialists in the design of new investigations and research paths for the study of this common condition.

Office Hysteroscopy
Office Hysteroscopy

Author: Keith B. Isaacson

Publisher:

Published: 1996

Total Pages: 184

ISBN-13:

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This text offers 'how to' information on the use of the hysteroscope in an office setting. Provides guidelines for the selection of the proper equipment, when to use the procedure, nursing requirements and how instruments are sterilized. Covers the technique for diagnostic hysteroscopy step by step, as well as normal and pathologic findings associated with hysteroscopy. Simpler procedures such as IUD removal or endometrial biopsy are also covered. Includes management of complications, falloposcopy and the future of hysteroscopy.

Clinical Gynecologic Oncology E-Book
Clinical Gynecologic Oncology E-Book

Author: Philip J. DiSaia

Publisher: Elsevier Health Sciences

Published: 2017-02-04

Total Pages: 893

ISBN-13: 0323443168

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The most readable, most comprehensive book in its field, Clinical Gynecologic Oncology, 9th Edition is the leading reference for diagnosis and treatment of gynecologic cancers – a must-have reference for improving outcomes and providing effective care. A "who’s who" list of contributing authors, under the editorial direction of Drs. Philip DiSaia and William Creasman, provides expert guidance on clinical presentations and management, now fully up to date with a brand-new design for faster, easier reference. Contains useful appendices covering staging, screening, nutritional therapy, toxicity criteria, blood component therapy, and radiation therapy. Covers hot topics such as multi-panel genetic testing, target therapies, sentinel node concept in endometrial cancer and vulvar cancer, and robotic surgery. Updates include new quick-reference features such as key point boxes with bulleted lists, highlighted key text, enhanced chapter outlines, and a brand-new design throughout. Includes up-to-date references and algorithms, making this text a comprehensive resource for clinical practice, personal study, and exam review. Helps you take advantage of the latest advances in early detection and improved treatment options for gynecologic cancers, especially uterine and cervical cancers.

Diagnostic Gynecologic and Obstetric Pathology E-Book
Diagnostic Gynecologic and Obstetric Pathology E-Book

Author: Christopher P. Crum

Publisher: Elsevier Health Sciences

Published: 2017-10-13

Total Pages: 1216

ISBN-13: 0323448348

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Comprehensive and practice-oriented, the fully updated 3rd Edition of this easy-to-use text covers the full range of obstetric and gynecologic pathology, including information on treatment and patient management. Written largely by the pathology and clinical faculty at Harvard's Brigham and Women's Hospital, it covers the most up-to-date information available in the field, including molecular genetics and diagnostics. Drs. Christopher P. Crum and Marisa R. Nucci are joined by new editors Scott R. Granter, Brooke E. Howitt, Mana M. Parast, and Theonia K. Boyd, to provide complete, beautifully illustrated coverage of both neoplastic and non-neoplastic disorders of the female genital system, ideal for improving pathological diagnosis. Provides distinct diagnostic/differential diagnostic criteria for any potential obstetric/gynecologic specimen encountered in practice. Features more than 2,250 full-color images, key points at the end of each chapter, and an appendix with commonly used ICD-10 codes Covers topics not often found in gynecologic pathology textbooks, such as vulvodynia, and diseases of the anus. Approaches topics from a practice-oriented point of view, beginning with clinical presentation and progressing through histopathology, differential diagnosis, and treatment for each disorder. Emphasizes new practice issues and their biologic basis including approaches to vulvar, cervical and endometrial precursors as well as the underpinnings of cervical, endometrial and ovarian cancer. A comprehensive look at mesenchymal neoplasia, including not only lower genital tract and uterus but also the retroperitoneum.

MRI of the Female and Male Pelvis
MRI of the Female and Male Pelvis

Author: Riccardo Manfredi

Publisher: Springer

Published: 2014-11-28

Total Pages: 290

ISBN-13: 3319096591

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Based on the experience of two Italian referral centers, the book depicts the characteristic findings obtained when using MR imaging to study the male and female pelvis including the obstetric applications. Each chapter provides a comprehensive account of the use of the imaging technique of examination, including the most recent advances in MR imaging, the anatomy and MR possibilities in the identification, characterization and staging of the different pelvic diseases highlighting its diagnostic possibilities. The advances in fetal MRI, representing the cutting edge of pelvic MR imaging, will also be depicted. The text is complemented by numerous illustrations, as well as clinical cases that make this a very practice-oriented work, presenting the role of diagnostic imaging in every-day clinical activity. The volume will prove an invaluable guide for both residents and professionals with core interest in gynecology, obstetrics and urology.