Usefulness of biopsy by office hysteroscopy for endometrial cancer: A case report

Sone,Kenbun; Eguchi,Satoko; Asada,Kayo; Inoue,Futaba; Miyamoto,Yuichiro; Tanikawa,Michihiro; Tsuruga,Tetsushi; Mori‑Uchino,Mayuyo; Matsumoto,Yoko; Hiraike‑Wada,Osamu; Oda,Katsutoshi; Osuga,Yutaka; Fujii,Tomoyuki

doi:10.3892/mco.2020.2053

August-2020 Volume 13 Issue 2

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August-2020 Volume 13 Issue 2

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Case Report Open Access

Usefulness of biopsy by office hysteroscopy for endometrial cancer: A case report

Authors:
- Kenbun Sone
- Satoko Eguchi
- Kayo Asada
- Futaba Inoue
- Yuichiro Miyamoto
- Michihiro Tanikawa
- Tetsushi Tsuruga
- Mayuyo Mori‑Uchino
- Yoko Matsumoto
- Osamu Hiraike‑Wada
- Katsutoshi Oda
- Yutaka Osuga
- Tomoyuki Fujii
View Affiliations / Copyright

Affiliations: Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo, Tokyo 113‑8655, Japan

Copyright: © Sone et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 141-145
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Published online on: May 27, 2020

https://doi.org/10.3892/mco.2020.2053
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Abstract

A diagnostic biopsy for endometrial cancer is performed via dilation and curettage (D&C). However, D&C may miss endometrial cancer lesions due to of its ‘blind’ approach. Hysteroscopy is a useful method that can be used to detect endometrial cancer lesions. In addition, office hysteroscopy is easy to be scheduled and does not require anesthesia. The patient was a 40‑year‑old woman with suspected endometrial cancer; however, it could not be diagnosed by D&C and biopsy using hysteroscopy during hospitalization. Office hysteroscopy during the proliferative phase indicated that the suspicious endometrial cancerous lesion was minimal at the isthmus of the uterus with atypical vessels and a white spot, for which biopsy was performed. Pathological diagnosis was endometrioid carcinoma with squamous differentiation, G1. Therefore, total laparoscopic hysterectomy, bilateral salpingo‑oophorectomy and pelvic lymphadenectomy were performed. In this case, it was difficult to detect minimal lesion in the secretory phase because the endometrial thickness hid the endometrial cancer. It is easy to perform office hysteroscopy in the proliferative phase. This case indicated that office hysteroscopy is a useful method to diagnose and perform biopsy for minimal lesions.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Usefulness of biopsy by office hysteroscopy for endometrial cancer: A case report

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