Diagnosis of Endometrial Biopsies and Curettings

Mazur, Michael T.; Kurman, Robert J.

doi:10.1007/978-0-387-26321-2

Cited by 40 publications

(46 citation statements)

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“…But the main purpose of endometrial sampling is the exclusion of endometrial malignancy 2,4 . Some studies have reported that preoperative endometrial sampling ensured sensitive and accurate diagnosis of endometrial pathologies, particularly tumors 22 .…”

Section: Discussionmentioning

confidence: 99%

“…Although, the main purpose of sampling is the exclusion of endometrial malignancies, it is also performed for various reasons, including the identification of the causes of abnormal bleeding and the evaluation of endometrial response to hormonal therapy [2][3][4] . Endometrial sampling also has therape- In the literature, the most frequent diagnosis from endometrial sampling is a normal cyclic pattern (proliferation/secretion/menstruation) and endometrial polyp 1,[5][6][7][8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

“…While a frequent diagnosis is dysfunctional bleeding due to anovulatory cycles in adolescents, in the perimenopausal group, as well as anovulation, organic lesions such as hyperplasia and polyps and also changes due to exogenous hormone intake become manifest. In the reproductive period, abnormal uterine bleeding due to complications related to pregnancy, endometritis, dysfunctional uterine bleeding, organic lesions, and exogenous hormone intake are observed 2 …”

Section: Introductionmentioning

confidence: 99%

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Histopathological evaluation of endometrial sampling in different age groups - 1374 cases

Azatçam¹,

Altun²,

Usta³

2017

MMJ

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Histopathological evaluation of endometrial sampling in different age groups - 1374 cases

Azatçam¹,

Altun²,

Usta³

2017

MMJ

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“…Atrophy is a common cause of abnormal bleeding (25%) in postmenopausal cases (7). Besides being common in postmenopausal patients, atrophic endometrium can occur in patients who are in reproductive ages with premature ovarian failure, either idiopathic or due to radiation or chemotherapy for malignancies (6). In the present study, it was found that 1.26% (n=4) of premenopausal cases and 39.42% (n=41) of postmenopausal cases were diagnosed as atrophic endometrium.…”

Section: Discussionmentioning

confidence: 42%

“…Endometrial biopsies and currettings are the most common tissue specimens received by pathology laboratory (6). Endometrial sampling is a conventional diagnostic method still widely used to specify endometrial lesions.…”

Section: Discussionmentioning

confidence: 99%

Histopathological findings in women that living Elazig with abnormal uterine bleeding: in 20 years

Solmaz¹

2017

J Turgut Ozal Med Cent

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Aim: Abnormal uterine bleeding refers to any uterine bleeding that occurs in excessive amounts of regular menstrual bleeding or any postmenopausal bleeding. The present study aims to determine histopathological findings in Turkish women with abnormal uterine bleeding in Elazığ. Material and Methods: Retrospectively 420 women with abnormal uterine bleeding were included in the study. Hematoxylin and eosin sections of the cases were re-evaluated by a single pathologist. Results: Of the 316 premenouposal cases %37,02 was diagnosed as (n=117) proliferative endometrium, %22,46 as (n=71) secretuar endometrium, as %3,79 (n=12) desidualisation, as %1,26 (n=4) atrophy, as %2,53 (n=8) placental tissue, as %12 (n=38) dysfunctional uterine bleeding, %12,34 (n=39) as endometrial polyp, %7,9 (n=25) as endometrial hyperplasia, and %0,63 (n=2) as endometrial adenocarcinoma. Of the 104 postmenouposal cases diagnosed as %10,57 (n=11) proliferative endometrium, %0,96 as (n=1) secretuar endometrium, %17,30 (n=18) as desidualisation, %13,46 (n=14) as endometrial polyp, %39,42 (n=41) atrophy, %12,5 (n=13) as endometrial hyperplasia, %5,76 (n=6) as endometrial adenocarcinoma. Conclusions: In our region, because endometrial sampling results belong patients with abnormal uterine bleeding which is usually concordant to age and menstrual cycle, We conclude that non-invasive methods should be tried before sampling. Endometrial carcinoma risk is consistent with the literature,so endometrial samplings should not be avoided?

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Sonographic findings in acute puerperal endometritis

Rule

Ashley

Bergin

2018

Australas J Ultrason Med

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Purpose: To evaluate the reliability of the sonographic subserosal hypoechoic rim sign and endomyometrial junction indistinctness in distinguishing patients with acute puerperal endometritis from other common postpartum complications, particularly those with retained products of conception. Methods: Radiographic coding identified all patients presenting to Auckland City Hospital over a 12-month period between 1 March 2016 and 28 February 2017 who had pelvic ultrasound scans to assess for postpartum complications. Clinical notes were reviewed to identify those patients with a clinical diagnosis of acute endometritis. After exclusion criteria were applied, the ultrasound images of 31 patients with acute endometritis and 31 randomly selected controls from the remaining pool of postpartum patients were randomised and anonymised. Ultrasound images were retrospectively reviewed by two independent radiologists to identify the presence or absence of the hypoechoic subserosal rim and endomyometrial junction indistinctness signs. Results: The average sensitivity and specificity for readers identifying the subserosal hypoechoic rim sign in full-term postpartum patients with acute endometritis were 76.9% and 92.1%, respectively. Interobserver reliability was moderate with a kappa value of 0.5. The average sensitivity and specificity for endomyometrial junction indistinctness were 89.0% and 95.2%, respectively, with substantial inter-observer agreement, Kappa 0.7. These signs remained specific but were less frequently observed in postpartum patients scanned during early pregnancy. Conclusion: We have shown that identifying the subserosal hypoechoic rim and endomyometrial junction indistinctness on ultrasound scans can reliably help to distinguish patients with acute postpartum endometritis from other complications, particularly in full-term postpartum patients.

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Diagnosis of Endometrial Biopsies and Curettings

Cited by 40 publications

References 0 publications

Histopathological evaluation of endometrial sampling in different age groups - 1374 cases

Histopathological evaluation of endometrial sampling in different age groups - 1374 cases

Histopathological findings in women that living Elazig with abnormal uterine bleeding: in 20 years

Sonographic findings in acute puerperal endometritis

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