Abstract
ABSTRACT Endocervical carcinoma is usually diagnosed after endocervical curettage or cone biopsy. Such lesions are usually designated as unsatisfactory colposcopic findings (UCF), since the lesion is not visible with the aid of the colposcope. In the present study, the cervicoscope was used to examine the endocervix in women with suspected pathologic conditions. Cervicoscopy was performed in 96 patients with cervical carcinoma and an endocervical extension (UCF-a), 47 patients with positive cytology but negative colposcopy (UCF-b), and 50 patients with endometrial carcinoma. A Machida endoscope with both lateral and direct viewing optical systems was used. Patterns of normality and abnormality are described. The diagnostic accuracy was 94% in UCF-a cases and 72% in UCF-b cases. Eighty-four percent accuracy was achieved where endometrial carcinoma extended into the endocervix. Cervicoscopy allows the assessment of primary lesions within the endocervix and determines the extent of endocervical carcinoma a...
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