Office hysteroscopy and endometrial/cervical cancer: an update on their potential close relationship

Office hysteroscopy and endometrial/cervical cancer: an update on their potential close relationship

Authors

  • Charalampos Siristatidis Assisted Reproduction Unit, 3rd Department of Obstetrics and Gynecology, University of Athens, Attikon General Hospital, 1 Rimini Street, 12462, Athens, Greece
  • George Basios Assisted Reproduction Unit, 3rd Department of Obstetrics and Gynecology, University of Athens, Attikon General Hospital, 1 Rimini Street, 12462, Athens, Greece
  • George-Marios Makris 3rd Department of Obstetrics and Gynecology, University of Athens, Attikon General Hospital, 1 Rimini Street, 12462, Athens, Greece
  • George Salamalekis Assisted Reproduction Unit, 3rd Department of Obstetrics and Gynecology, University of Athens, Attikon General Hospital, 1 Rimini Street, 12462, Athens, Greece
  • Paraskevi Vogiatzi Assisted Reproduction Unit, 3rd Department of Obstetrics and Gynecology, University of Athens, Attikon General Hospital, 1 Rimini Street, 12462, Athens, Greece
  • Nikolaos Papantoniou 2nd Department of Obstetrics and Gynecology, University of Athens, Αretaieion Hospital, 124B Vasilissis Sophias Avenue, 11526, Athens, Greece
  • Stefano Bettocchi 1st Unit of Obstetrics and Gynecology, Department of Biomedical Sciences and Human Oncology, University “Aldo Moro”, Bari, Italy

Keywords:

Office Hysteroscopy, cancer, endometrium, cervix, hyperplasia, accuracy

Abstract

Aim

To provide an insight on the applicability, efficiency and accuracy of office hysteroscopy (OH) in the diagnosis and potential treatment of endometrial (EC) and cervical cancer (CC) and their respective premalignant states.

 Materials and methods

A literature update on the efficiency of OH in EC and CC, through a search strategy formed for PubMed. 

 Results

Endometrial hyperplasia and EC can be accurately and efficiently diagnosed with OH, especially when combined with endometrial sampling. The role of OH in the diagnosis of cervical intraepithelial neoplasia and CC is less investigated and remains supplementary to traditional modalities. Regarding the treatment of both gynecological cancers and their premalignant states, there are no data to support the utility of the technique.  

Conclusions

The modern technological advances have promoted the evolution of sophisticated hysteroscopes and the respective techniques, with OH being an advanced approach in the visualization of the female genital tract with fine imaging along with specialized software utilities for advanced processing. Prospective cohort studies could add to its value with respect to resolving discrepancies arising from previous conflicting views on the specificity and sensitivity of the technique, and advanced clinical training, could establish OH as a first-line diagnostic procedure for the management of pre-malignant and malignant lesions in the near future.

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Published

2016-03-22

Issue

European Journal of Oncology Vol.21, No 1 (2016)

Section

Reviews

License

OPEN ACCESS

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The articles in the previous edition of the Journal (European Journal of Oncology) are made available online with open access under the CC-BY Creative Commons attribution license (the current version is CC-BY, version 4.0 http://creativecommons.org/licenses/by/4.0/).

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How to Cite

1.
Siristatidis C, Basios G, Makris G-M, Salamalekis G, Vogiatzi P, Papantoniou N, et al. Office hysteroscopy and endometrial/cervical cancer: an update on their potential close relationship. Eur J Oncol Env Hea [Internet]. 2016 Mar. 22 [cited 2025 Apr. 6];20(1):61-74. Available from: https://mattioli1885journals.com/index.php/EJOEH/article/view/4174