Validation of endometrial curettage in abnormal uterine bleeding in a teaching institute of central India: A prospective study

Patne, Smita S.; Sirpurkar, Manik

doi:10.5958/j.2319-5886.2.3.085

Cited by 5 publications

(7 citation statements)

References 4 publications

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“…Atrophic endometrium was seen predominantly in postmenopausal age group, the reason is that decreased estrogenic stimulation leads to thin atrophic endometrium making it susceptible to minor injury and may cause bleeding even in absence of any identifiable lesion. 23 Hyperplasia was (n=26, 8.67%) and comparable to other authors 9.1%, 18 10.92% 7 ; 6.11% 24 and 12.6% 8 but it is much lower than 41.9%, 10 30.3%, 4 25% 22 and 25.5%. 21 In this study 61.5% of hyperplasia was noted in perimenopausal age group.…”

Section: Paritysupporting

confidence: 87%

“…Sadia khan 8 Parity: In the present study, the highest incidence of AUB was seen in multiparous women this is in similarity with other authors as shown in table 4 as well as by most other investigators. 10,12 The lowest incidence of AUB was seen in nulliparous women in the present study (3%) which is in close similarity with Radha N 12 (4%) and Sadia K 8 (5.4%).…”

Section: Paritysupporting

confidence: 85%

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Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity

2020

IJOGR

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Introduction: Abnormal uterine bleeding (AUB) is a common complaint affecting majority of pre and postmenopausal women. Endometirum is a dynamic tissue and is affected by a wide range of histopathological lesions. The causes of AUB is a function of age.Aim and Objective: to study the histopathological pattern in cases of AUB in reference age, parity and bleeding pattern. Patients were categorized into reproductive (<40 years), perimenopausal (40-50 years) and postmenopausal (>50 years). Materials and Methods: A total of three hundred patients presenting with AUB are included in this study. Observation and Results: In this study patient ranged from 20 to 70 years and the mean age of the cohort was 43.46±8.07. Major parity category noted in the cohort was para-2 in 89 patients (29.67%). Major bleeding pattern observed in the cohort was menorrhagia (32.33%); followed by metrorrhagia (19.67%), menometrorrhagia (16.33%), postmenopausal bleeding (12.67%), polymenorrhoea (9.67%), polymenorrhagia (5%) and continuous bleeding (1%). Histopathological pattern observed in AUB patients was proliferative phase endometrium (31.33%), secretory phase endometrium (21.67%), menstrual endometrium (1.33%). atrophic endometrium (6%), disordered proliferation (3.33%), mixed pattern (1%), polyp (10.67%), metaplasia (9.67%), hyperplasia (8.67%), endometritis (2.67%), adenocarcinoma (1.67%) and insufficient (2%). Conclusion:The causes of AUB are function of age; perimenopausal age group is the most common affected. Dilatation & Curettage is cost effective, useful procedure but organic lesions such as leiomyoma and adenomyosis can be missed. AUB is a common disorder affecting females and is a challenge to the treating gynaecologist.

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Section: Paritysupporting

confidence: 87%

Section: Paritysupporting

confidence: 85%

Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity

2020

IJOGR

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“…Endometrial hyperplasia (25%) is the leading pathological finding in this study and is of cystic type, this figure was similar to the study done by Damle et al 4 , Arti Anvikar et al 8 and A Khare 11 . A higher incidence of 41.9% was reported by Smita et al 6 . Identification of endometrial hyperplasia is important because they are thought to be precursors of endometrial carcinoma.…”

Section: Discussionmentioning

confidence: 68%

“…It was the most common clinical presentation seen in other studies also. [4][5][6][7][8] DUB has great variation in the endometrial patterns and its management entirely depends upon the type of endometrial pattern. Our study like several others showed that proliferative, 11 and A Khare et al 12 .…”

Section: Discussionmentioning

confidence: 99%

Endometrial Aspiration Using MVA Syringe in Dysfunctional Uterine Bleeding

Singh¹,

Murmu²

2016

IJMRP

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Background: Dysfunctional uterine bleeding is a diagnosis of exclusion. Histopathological examination of endometrial aspiration is an important diagnostic tool in evaluating of DUB and a specific diagnosis could help the one to plan medical treatment and avoid unnecessary surgical intervention. This study was aimed to evaluate the endometrial Pattern in women of reproductive age presenting with DUB. Methods: Endometrial aspiration was done in the outpatient department without anaesthesia, on 110 women presenting with symptoms of dysfunctional uterine bleeding. Results: Histopathological examination of endometrial tissue showed a wide variety of endometrium ranging from normal endometrium to malignancy. Proliferative endometrium (42.72%) is the most common endometrial pattern seen in the reproductive age group followed by secretory endometrium (29.10%). The leading pathological finding in this study was endometrial hyperplasia in 26%. Endometrial carcinoma was present in 1.8% whereas tubercular endometritis was detected in 0.91% only. Conclusion: 71.82 % of women were found to have physiological endometrium. Thus, specific hormonal therapy was given to them. Endometrial aspiration by MVA syringe is a safe and effective office procedure and can be done in low resources setting.

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“…According to the inclusion criteria, the 152 women's medical data, clinical information and endometrial histopathology finding were evaluated. 152 women patients who were diagnosed with abnormal uterine bleeding, their ages ranged from 23 Figure 2 The 152 cases were distributed depending on marital status and majority about 91.45 % were married and 8.55% were unmarried.…”

Section: Resultsmentioning

confidence: 99%

Histopathological evaluation of endometrial curettings in women with abnormal uterine bleeding: A retrospective analysis

Begum¹,

Sheeja

2022

ACHR

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Endometrial pathologies have been a predominate problem faced by women globally.Among all the endometrial pathologies, abnormal uterine bleeding is first in the list among the developing countries. To analyse the percentage of endometrial pathology detected in women who were diagnosed from abnormal uterine bleeding in our tertiary health care centre.A retrospective study of 158 women patients who were diagnosed with abnormal uterine bleeding and their endometrial tissue sampling were evaluated for endometrial pathology. The study data were collected from February 2017 till January 2019 based on Inclusion criteria and Exclusion criteria.According to the inclusion criteria, the 152 cases medical data which includes clinical evaluations along with endometrial histopathology evaluation were analysed. According to our analysis, the histopathological examination reports revealed most of the cases were diagnosed with benign endometrial pathology (34.72%) and abnormal endometrial pathology (9.09%). The 9.09% includes 7.44% presented with endometrial hyperplasia and 1.65% presented with endometrial cancer.Histopathological study of endometrial curettage tissue is the approved method for detecting any endometrial pathology. This is an onerous task for pathologists as not to miss any important findings. According to our analysis the commonest incidences of endometrial pathology were normal endometrium 56.19% of cases and benign pathology 34.72% and the less incidences of preneoplastic lesions 7.44% and endometrial carcinoma 1.65%.

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Validation of endometrial curettage in abnormal uterine bleeding in a teaching institute of central India: A prospective study

Cited by 5 publications

References 4 publications

Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity

Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity

Endometrial Aspiration Using MVA Syringe in Dysfunctional Uterine Bleeding

Histopathological evaluation of endometrial curettings in women with abnormal uterine bleeding: A retrospective analysis

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