A NEW HYSTEROSCOPIC CLASSIFICATION OF AND NOMENCLATURE FOR ENDOMETRIAL LESIONS

Study Objective. To establish a hysteroscopic classification of endome trial lesions based on a combined score. Design. A prospective study t o grade four features of endometrial lesions (thickness, surface, colo r, vascularization) and subdivide them as mild (low risk) and severe ( high risk). Setting. Gynecologic endoscopy unit of an obstetric and gy necology clinic. Patients. Two hundred twenty-nine women with hysteros copically diagnosed endometrial lesions. Interventions. Hysteroscopic inspection of endometriotic lesions, with grading performed on the fou r features. Measurements and Main Results. The sensitivity and specifi city of our system were 86.9% and 87.4% for mild pathology, and 96% an d 92.9% for severe pathology. Conclusions. This hysteroscopic classifi cation of endometrial pathology can be useful for a better definition of endometrial lesions. The method has good sensitivity and specificit y