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PROBLEMS IN HYSTEROSALPINGOGRAPHY

PROBLEMS IN HYSTEROSALPINGOGRAPHY The diagnostic usefulness of hysterosalpingography was tested in a critical study of 395 cases. In each case the joint report of the radiologist and the gynecologist who carried out the examination was compared with subsequent findings of pathologists, specimens being obtained at operation in 486 cases. The reliability of the roentgenographic diagnosis depended much on the condition. The presence or absence of congenital anomalies was correctly reported in every instance, but the diagnosis of endocervicitis based on hysterosalpingography was substantiated in only 10% of the cases. Hysterosalpingography in this series was without value in endocervicitis and endometritis. It was somewhat more reliable in polyposis of the uterine cavity, ovarian cyst, endocervical polyp, fibromyoma, and ectopic pregnancy and most reliable in cases of congenital anomaly, carcinoma corporis uteri, and salpingitis. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

PROBLEMS IN HYSTEROSALPINGOGRAPHY

JAMA , Volume 170 (10) – Jul 4, 1959

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1959.03010100031010
Publisher site
See Article on Publisher Site

Abstract

The diagnostic usefulness of hysterosalpingography was tested in a critical study of 395 cases. In each case the joint report of the radiologist and the gynecologist who carried out the examination was compared with subsequent findings of pathologists, specimens being obtained at operation in 486 cases. The reliability of the roentgenographic diagnosis depended much on the condition. The presence or absence of congenital anomalies was correctly reported in every instance, but the diagnosis of endocervicitis based on hysterosalpingography was substantiated in only 10% of the cases. Hysterosalpingography in this series was without value in endocervicitis and endometritis. It was somewhat more reliable in polyposis of the uterine cavity, ovarian cyst, endocervical polyp, fibromyoma, and ectopic pregnancy and most reliable in cases of congenital anomaly, carcinoma corporis uteri, and salpingitis.

Journal

JAMAAmerican Medical Association

Published: Jul 4, 1959

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