Diagnostic accuracy of hysteroscopy vs dilation and curettage (D&C) for atypical endometrial hyperplasia in patients performing hysterectomy or serial follow-up

Background: Endometrial hyperplasia (EH) is considered a heterogeneous pre-neoplastic clinical entity characterized by an abnormal glandular proliferation, with less than half of the tissue area occupied stroma. The aim this retrospective study was to evaluate correlation between histological diagnosis atypical endometrial (AEH) obtained through office hysteroscopy (OH) or uterine dilation and curettage (D&C) definitive evaluation after hysterectomy. Methods: Among 112 patients EH, 45 (40%) underwent 67 (60%) curettage. Results: diagnostic accuracy OH very high: in particular, it showed coincidence 87% cases hysteroscopy. curettage, instead, had only 14% cases. Conclusion: Office ideal procedure for both follow-up hyperplasia.