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Journal of obstetrics and gynaecology, 2016-01, Vol.36 (1), p.102-105
2016
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Details

Autor(en) / Beteiligte
Titel
The importance of age and menopausal status in endometrial complex hyperplasia with atypia
Ist Teil von
  • Journal of obstetrics and gynaecology, 2016-01, Vol.36 (1), p.102-105
Ort / Verlag
England: Taylor & Francis
Erscheinungsjahr
2016
Quelle
MEDLINE
Beschreibungen/Notizen
  • The effects of menopausal status and age on the intra-operative and post-operative pathology results of patients operated on with a pre-operative diagnosis of complex hyperplasia with atypia (CHA) were assessed. A hundred and eleven patients diagnosed in our centre between January 1993 and March 2013 were included. Cancer was detected in the paraffin blocks (PBs) of 52 (46.8%) patients. Among these, 50 patients had stage-IA disease. In 31.1% of the pre-menopausal patients and 66% of the post-menopausal patients, PB revealed cancer (p < 0.0001). The results of frozen section (FS) and PB were concordant in 51% and 70% in the pre-menopausal and post-menopausal patients, respectively (p = 0.041). In the patients operated on with a pre-operative diagnosis of CHA, the probability of detecting cancer in PB increases with increasing age and menopause. The reliability of FS is limited in younger and pre-menopausal patients.

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