Hysteroscopic pictures of endometrial cancer

Among the different hysteroscopic patterns that have been described to assess endometrial cancer, it seems especially interesting the one developed by Dr F. Coloma. This classification describes three hysteroscopic patterns:

·Pseudohyperplastic pattern: Individualized aspect of multiple buds with sharp edges and atypical vascularization.
·Nodular pattern: Fixed nodule with solid aspect and a wide base with atypical poor vascularization.
·Malignant polyp: A polyp with signs of malignancy that affects the entire polyp or fragments of it.

These three patterns have an advanced sub-pattern, in which tissue breakdown, necrotic areas and fibrin deposits are appreciated

 

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