Histopathological correlation of abnormal uterine bleeding in perimenopausal women

Verma, Deepak Kumar; Verma, Abhyudaya

doi:10.18203/2320-1770.ijrcog20162124

Cited by 2 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…12 respectively. 14,[21][22][23][24][25] Majority of patients (50%) who attended the hospital for treatment were suffering for 4-6 months which is comparable to studies conducted by Taludkar et al (54.37%) and Kathuria et al (50%). 12,26 Fibromyoma was diagnosed by ultrasound in 62.8% of the patients and it was the common diagnosis in this study.…”

Section: Discussionsupporting

confidence: 69%

Correlation between ultrasonographic and histopathological findings of hysterectomy specimen in patients with abnormal uterine bleeding

Mahajan¹,

Devi²,

Singh³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: AUB is a common and debilitating condition and it is one of the main gynaecological reasons for hysterectomy. Ultrasonography can be as good as histopathology (HPE) in the diagnosis of abnormal uterine bleeding. Hence, our study was conducted to validate the ultrasonographic findings with HPE findings in diagnosis of AUB.Methods: A hospital based cross-sectional analytical study was conducted among 86 patients with abnormal uterine bleeding in the department of Obstetrics and Gynaecology in collaboration with department of Pathology, RIMS, Imphal from September 2017 to March 2019. The clinical history and socio demographic profile were collected using a pre-designed proforma. General physical examination, pelvic examination and ultrasonagraphy was carried out and the hysterectomy specimens were subjected to histopathological examination.Results: Fibromyoma was diagnosed by ultrasound in 62.8% of the patients and it was the common diagnosis in this study. The sensitivity, specificity, positive predictive value, negative predictive value and kappa statistics of USG for diagnosing leiomyoma was 92.9%, 93.3%, 96.3%, 87.5% and 84.9% respectively. The sensitivity, specificity, positive predictive value, negative predictive value and kappa statistics of USG for diagnosing adenomyosis was 53.8%, 98.6%, 87.5%, 92.3% and 62.3% respectively.Conclusions: The study provides an evidence that ultrasonography has good diagnostic accuracy as histopathology in the diagnosis of fibroid in patients with abnormal uterine bleeding. However, as with all the diagnostic procedures, the utility of ultrasound in the diagnosis of adenomyosis is questionable, since it has a low sensitivity amidst good specificity.

show abstract

Section: Discussionsupporting

confidence: 69%

Correlation between ultrasonographic and histopathological findings of hysterectomy specimen in patients with abnormal uterine bleeding

Mahajan¹,

Devi²,

Singh³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…Jairapuri et al also showed similar results, menorrhagia as the most common complaint (41%). 8,9 Out of 100 histopathology's, 80 % showed benign non-organic endometrial cause and remaining 20% showed organic cause which is comparable with the study conducted by Gon et al which showed non-organic causes in 80.01% and organic pathology in 19.01% of cases. 3 Most common histopathology among non-organic causes was proliferative endometrium (35%) which is comparable with the study by Ghani et al and most common organic pathology was endometrial polyp (8%) which is similar to the study conducted by Gon et al which showed endometrial polyp in 8.6% of total cases as the commonest organic pathology.…”

Section: Discussionsupporting

confidence: 76%

A retrospective study of endometrial histopathology in abnormal uterine bleeding patients

Varun

Gupta

Khan

2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Abnormal uterine bleeding (AUB) is one of the most commonly encountered gynecological problem and almost 33 % of women in gynecological outpatient department presented with abnormal uterine bleeding. Dilatation and curettage (D and C) have been the main diagnostic procedure in the evaluation of abnormal uterine bleeding patients for decades. The objective of the present study was to analyze the different types of endometrial histopathology of patients presented with the abnormal uterine bleeding and its correlation with the different types of abnormal uterine bleedingMethods: This is a retrospective study, conducted in a medical college in the Department of Obstetrics and Gynecology over a period of one year from June ’17 to June ’18. All cases of AUB more than 35 years of the age group who underwent D and C procedure were included in this study. Total 100 patients were analyzed.Results: Total 100 patients were analyzed. Age group ranges from 35-58 years and most common age group presenting with AUB was 35-39 years. The most common presenting complaint was menorrhagia 54% (54/100). Histopathology of endometrium showed non-organic causes in 80% (80/100) of AUB patients and the remaining 20% (20/100) had organic causes. Most common endometrial histopathology among non-organic causes was proliferative endometrium 43.75% (35/80) and the most common organic cause was endometrial polyp 40% (8/20). Endometrial hyperplasia was found in 30% (6/20) and endometrial carcinoma was found in 20% (4/20) of cases among organic causes.Conclusions: D and C is the useful and the cost-effective diagnostic procedure in the evaluation of AUB. Histopathological evaluation of endometrial samples is especially indicated in AUB patients to rule out carcinoma and preneoplastic conditions as histopathology is 100% diagnostic in cases of endometrial hyperplasia and carcinoma.

show abstract

Histopathological correlation of abnormal uterine bleeding in perimenopausal women

Cited by 2 publications

References 3 publications

Correlation between ultrasonographic and histopathological findings of hysterectomy specimen in patients with abnormal uterine bleeding

Correlation between ultrasonographic and histopathological findings of hysterectomy specimen in patients with abnormal uterine bleeding

A retrospective study of endometrial histopathology in abnormal uterine bleeding patients

Contact Info

Product

Resources

About