Screening for endometrial cancer

被引：28

作者：

Robertson, G ^{[1
]}

机构：

[1] Royal Hosp Women, Gynaecol Canc Ctr, Randwick, NSW 2031, Australia

来源：

MEDICAL JOURNAL OF AUSTRALIA | 2003年 / 178卷 / 12期

关键词：

D O I：

10.5694/j.1326-5377.2003.tb05400.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Routine screening for endometrial carcinoma is currently not justified. Postmenopausal women need to be educated about the importance of seeking attention if any vaginal bleeding occurs. All postmenopausal bleeding requires review and appropriate investigation. Women taking tamoxifen have a higher risk of endometrial cancer and should report any bleeding or spotting; however, ultrasound screening is not recommended for asymptomatic women taking tamoxifen. Families with hereditary non-polyposis colon cancer have a higher risk of endometrial cancer and require counselling about this risk. A Pap test is not a screening test for endometrial cancer, but the incidental finding of endometrial cells on a Pap smear in a postmenopausal woman requires investigation.

引用

页码：657 / 659

页数：3

共 12 条

[1]

Australian Institute of Health and Welfare, 2002, CANC AUSTR 1999

[2] Sonographic endometrial thickness: A useful test to predict atrophy in patients with postmenopausal bleeding. An Italian multicenter study [J].

Ferrazzi, E ;

Torri, V ;

Trio, D ;

Zannoni, E ;

Filiberto, S ;

Dordoni, D ;

Amuso, G ;

Bocchi, C ;

Bonsignore, L ;

Brizzolara, M ;

Ceccarello, PL ;

Colombo, D ;

Exacoustos, C ;

Galbiati, G ;

Gramellini, D ;

Lissoni, L ;

Luerti, M ;

Morici, A ;

Radaelli, U ;

Rusconi, C ;

Scollo, P ;

Sampaolo, P ;

Spagnolo, D ;

Valcamonico, A .

ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 1996, 7 (05) :315-321

[3] An assessment of the value of ultrasonographic screening for endometrial disease in postmenopausal women without symptoms [J].

Fleischer, AC ;

Wheeler, JE ;

Lindsay, I ;

Hendrix, SL ;

Grabill, S ;

Kravitz, B ;

MacDonald, B .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2001, 184 (02) :70-74

[4] Effects of adjuvant tamoxifen on the endometrium in postmenopausal women with breast cancer:: A prospective long-term study using transvaginal ultrasound [J].

Gerber, B ;

Krause, A ;

Müller, H ;

Reimer, T ;

Külz, T ;

Makovitzky, J ;

Kundt, G ;

Friese, K .

JOURNAL OF CLINICAL ONCOLOGY, 2000, 18 (20) :3464-3470

[5] Ultrasonographic detection of asymptomatic endometrial cancer in postmenopausal patients offers no prognostic advantage over symptomatic disease discovered by uterine bleeding [J].

Gerber, B ;

Krause, A ;

Müller, H ;

Reimer, T ;

Külz, T ;

Kundt, G ;

Friese, K .

EUROPEAN JOURNAL OF CANCER, 2001, 37 (01) :64-71

[6]

GUSBERG SB, 1981, CANCER, V47, P1173, DOI 10.1002/1097-0142(19810301)47:5+<1173::AID-CNCR2820471320>3.0.CO

[7]

2-8

[8] TRANSVAGINAL ULTRASONOGRAPHY OF THE ENDOMETRIUM IN WOMEN WITH POSTMENOPAUSAL BLEEDING - A NORDIC MULTICENTER STUDY [J].

KARLSSON, B ;

GRANBERG, S ;

WIKLAND, M ;

YLOSTALO, P ;

TORVID, K ;

MARSAL, K ;

VALENTIN, L .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1995, 172 (05) :1488-1494

[9] Transvaginal ultrasonography compared with endometrial biopsy for the detection of endometrial disease [J].

Langer, RD ;

Pierce, JJ ;

OHanlan, KA ;

Johnson, SR ;

Espeland, MA ;

Trabal, JF ;

Barnabei, VM ;

Merino, MJ ;

Scully, RE .

NEW ENGLAND JOURNAL OF MEDICINE, 1997, 337 (25) :1792-1798

[10]

NG ABP, 1974, ACTA CYTOL, V18, P356

← 1 2 →