P1072 Comparison of the diagnostic accuracy of pipelle biopsy, dilatation and curettage and hysterectomy in detection of endometrial lesions

Naderi, Tayebeh

doi:10.1016/s0020-7292(09)62557-1

Cited by 4 publications

(3 citation statements)

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“…The cost included the procedure, anesthesia, surgery and inpatient charges. Thus, in view of our results and the reported high sensitivity and specificity of pipelle, 23 – 25 it is suggested that this device should replace the traditional method of endometrial sampling by D&C as it is an outpatient procedure, avoids general anesthesia along with its associated complications, does not require operating theater space or staff, is less painful, more cost effective and above all produces an adequate sample with reliable histopathology results when compared with D&C. The pipelle is a safe and cost-effective device for getting an adequate endometrial sample for histology, with a high sensitivity and specificity for detection of hyperplasia and malignancy.…”

Section: Discussionsupporting

confidence: 75%

Validity of pipelle endometrial sampling in patients with abnormal uterine bleeding

Fakhar

Saeed

Khan

et al. 2008

Annals of Saudi Medicine

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BACKGROUND AND OBJECTIVESWe compared endometrial sampling by pipelle endometrial curette with conventional dilatation and curettage (D&C) in patients with abnormal uterine bleeding.METHODSEndometrial sampling with pipelle curette was performed on 100 patients followed by formal D&C. Samples were labeled as A and B, respectively, and sent to a histopathologist who was blinded as to the method of sampling. The histopathology reports of both samples were compared, taking D&C as the gold standard.RESULTSAn adequate sample was obtained in 98% of cases by pipelle and in 100% of cases by D&C. Pipelle had a sensitivity, specificity, positive predictive value and negative predictive value of 100% for diagnosing endometrial carcinoma, hyperplasia and secretory endometrium. Pipelle also had high diagnostic sensitivity, specificity and negative predictive value (100%, 98% and 100%, respectively) for hyperplasia with atypia, and low sensitivity (57%) and positive predictive value (57%), but high specificity (97%) and negative predictive value (97%) for endometritis. Similarly, for proliferative endometrium, the pipelle technique had values of 94% and 93% for sensitivity and specificity, respectively. Both samples labeled as inadequate for histology by pipelle were polyps on the D&C report. Difficult endotracheal intubation was encountered in two cases of D&C. No other complications of the procedure were observed.CONCLUSIONThe pipelle is a safe device for getting an adequate endometrial sample for histology, with a high sensitivity and specificity for detection of hyperplasia and malignancy.

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Section: Discussionsupporting

confidence: 75%

Validity of pipelle endometrial sampling in patients with abnormal uterine bleeding

Fakhar

Saeed

Khan

et al. 2008

Annals of Saudi Medicine

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“…(12) The sufficiency rates by pipelle and D & C were 91.6% and 98.3%, respectively, by Naderi and colleagues in a study. (13)These adequate rates are greater than those in our study. More than the findings of this investigation, the study by Mousavifar et al (14) found asufficiency rate 94% for pipelle samples.…”

Section: Resultscontrasting

confidence: 62%

Validity of Pipelle Endometrial Sampling in Patients with Abnormal Uterine Bleeding: an Analytical Cross-Sectional Study

Channa¹,

Haider²,

Perveen³

et al. 2023

PJMHS

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Objective: The study's objectives were to evaluate the validity of the pipelle device in obtaining a suitable & representative endometrial sample by contrasting the histopathological outcomes of pipelle sampling with those from dilatation and curettage (D&C). Study design: An analytical cross-sectional study Place and Duration: This study was conducted at Liaquat University of Medical and Health Sciences Jamshoro from June 2021 to June 2022 Methodology: The study comprised 100 patients withabnormal uterine bleeding (AUB) who visited the obstetrics and gynecology department's outpatient clinic. Before a formal D&C, endometrial samples were taken from 100 patients using a pipelle device. The sample marked as sample A was obtained by inserting the Pipelle without conducting cervical dilatation and rotating it inside the uterus. The patients were then brought into the operating room for D&C, and the sample that was taken following D&C was designated as sample B Results: Pipelle sampling exhibited a 97% sensitivity,and a 100% specificity when compared to D&C sampling for obtaining an endometrial sample. With the exception of an endometrial polyp, which could not be detected by the pipelle sample, the Histopathology report’s diagnosis using the sample acquired from the pipelle showed very high sensitivity, specificity, positive predictive value, and negative predictive value. Conclusion: Pipelle endometrial biopsy is a risk-free method of obtaining an appropriate endometrial sample for histopathology. In terms of detecting endometrial abnormalities and endometrial cancer, it has high sensitivity and excellent specificity. An accurate diagnosis of endometrial cancer can be made using a Pipelle endometrial biopsy. Keywords: sampling, endometrial, abnormal uterine bleeding

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“…It may be due to different techniques and instruments and also pathologist's experience. In a study by Naderi and colleagues 15 the sufficiency rates were 91.6% and 98.3% by pipelle and D & C respectively. These are higher sufficient rates than our study.…”

mentioning

confidence: 93%

Diagnostic value of pipelle endometrial sampling in comparison with dilatation and curettage among patients with abnormal uterine bleeding

Alliratnam

Priya

Shankar

2016

Int J Reprod Contracept Obstet Gynecol

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P1072 Comparison of the diagnostic accuracy of pipelle biopsy, dilatation and curettage and hysterectomy in detection of endometrial lesions

Cited by 4 publications

References 0 publications

Validity of pipelle endometrial sampling in patients with abnormal uterine bleeding

Validity of pipelle endometrial sampling in patients with abnormal uterine bleeding

Validity of Pipelle Endometrial Sampling in Patients with Abnormal Uterine Bleeding: an Analytical Cross-Sectional Study

Diagnostic value of pipelle endometrial sampling in comparison with dilatation and curettage among patients with abnormal uterine bleeding

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