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Abstract

An endometrial carcinoma is detected in uterine specimens in more than 40% of patients with a diagnosis of atypical hyperplasia by endometrial biopsy. 1 Trimble C.L. Kauderer J. Zaino R. et al. Concurrent endometrial carcinoma in women with a biopsy diagnosis of atypical endometrial hyperplasia A Gynaecologic Oncology Group Study. Cancer. 2006; 106: 812-819 Crossref PubMed Scopus (414) Google Scholar In the study published in The Journal of Minimally Invasive Gynecology, we found that hysteroscopy-view is quite sensitive (84.6%) and highly specific (100%) to foresee a diagnosis of infiltrating carcinoma in 25 menopausal patients in whom endometrial biopsy yielded a diagnosis of atypical hyperplasia. 2 Garuti G. Mirra M. Luerti M. Hysteroscopic view in atypical endometrial hyperplasias: a correlation with pathologic findings on hysterectomy specimens. J Minim Invasive Gynecol. 2006; 13: 325-330 Abstract Full Text Full Text PDF PubMed Scopus (35) Google Scholar We appreciate the attention given by Stefano Bettocchi and his renowned collaborators 3 Bettocchi S. Di Spiezio Sardo A. Guida M. Insabato L. Magos A. Simonetti S. et al. Can the situation be reversed? Can the hysteroscopist be more helpful than the pathologist in differentiating atypical hyperplasia and endometrial carcinoma?. J Minim Invasive Gynecol. 2006; 13: 587-588 Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar to our observational and retrospective study, based on a small series of patients. Can the situation be reversed? Can the hysteroscopist be more helpful than the pathologist in differentiating atypical hyperplasia and endometrial carcinoma?Journal of Minimally Invasive GynecologyVol. 13Issue 6PreviewFirst of all, we would like to acknowledge Garuti and his co-workers’ efforts to have tried in recent years to identify with many studies the role of hysteroscopy in a field still as “obscure” as endometrial hyperplasia. Full-Text PDF