Attempt at classification of hysteroscopic pictures of corpus uteri carcinoma.

When comparing types of hysteroscopic pictures--"cauliflower" fatty and multifocal--with prognostic features whose importance is already known (clinical advance, histological maturity, size of uterus, number of cses cured, and number of distant metastases). I have found that "cauliflower" and fatty types are diagnosed in patients with good prognostic features because they appear more often at I degree of advance and at highly matured carcinoma (G1). The survival rates are the highest--93% and 87%. The changes I have described as multifocal appeared in patients with high degree of advance of disease (III--78% I--21%) and with low matured carcinoma. The survival rate was much lower--74% and distant metastasis more frequent (15%) than in other groups of patients. So the pictures of the multifocal infiltrates have the most negative prognostic factors. Such diagnosis obliges to choose particularly precise, conscientious method of therapy and hysterography can be very useful to it. The problem which requires further investigations is the relatively high frequency of detectability of the multifocal changes on hysteroscopic pictures. It may be assumed that some additional, still unexplained features must exist in this form which, might possibly limit the frequency of diagnosis of hysteroscopic pictures with negative prognostic factors.