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Obstetrics & Gynecology 1975;45:378-384
© 1975 by The American College of Obstetricians and Gynecologists
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Routine Use of Hysterography in Endometrial Carcinoma and Postmenopausal Bleeding

PETER E. SCHWARTZ, MD, ERNEST J. KOHORN, MD, FACOG, ARTHUR H. KNOWLTON, MD and JOHN McL MORRIS, MD, FACOG

From the Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, Connecticut

Abstract

Unexpected hysterographic findings were encountered in 42 or 105 patients with postmenopausal bleeding or endometrial carcinoma. These included the extent and location of tumor, size and position of the uterus, uterine perforations or fistulas, and undetected myomas, congenital defects, or adnexal pathology. The findings proved of sufficient value in clinical management that hysterography, using water soluble medium, has been adopted as a routine procedure in such cases, especially if radium or cesium packing is employed. There was no statistically significant correlation between the histologic grade of the tumor and the hysterographic appearance of well-circumscribed or diffusely infiltrating lesions. Intravasation of contrast media occurred in 9 patients, lymphatic uptake was observed in 8, and peritoneal spillage of dye in 31 patients. There was no significant morbidity, and results to date show no evidence of tumor spread from the procedure.




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 Hum ReprodHome page
F. Nagele, F. Wieser, A. Deery, R. Hart, and A. Magos
Endometrial cell dissemination at diagnostic hysteroscopy: a prospective randomized cross-over comparison of normal saline and carbon dioxide uterine distension
Hum. Reprod., November 1, 1999; 14(11): 2739 - 2742.
[Abstract] [Full Text] [PDF]


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