Histopathological interpretation of endometrium in abnormal uterine bleeding.

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dc.contributor.authorShah, Rupal
dc.contributor.authorDayal, Anupama
dc.contributor.authorKothari, Sadhana
dc.contributor.authorPatel, Shanti
dc.contributor.authorDalal, Bharati
dc.date.accessioned2014-07-30T07:13:51Z
dc.date.available2014-07-30T07:13:51Z
dc.date.issued2014-07
dc.description.abstractBackground: Abnormal uterine bleeding is one of the most frequent problems in life of an adult female. Accurate analysis of endometrium & localization of intrauterine lesion is the goal to effective management & better outcome of problem. Aims & Objective: To evaluate various histopathological features in D & C and/or hysterectomy in patients presenting with abnormal uterine bleeding and to find the efficacy of D & C as a better, cost effective and minimally invasive tool for screening in patients with AUB. Materials and Methods: The present study was conducted in Department of Pathology, tertiary care hospital, Ahmedabad, Gujarat, India over a period of one and half years. A total 320 patients aged 20 years & above, presenting with AUB were included. Endometrial samples were analysed, histopathological changes identified and classified. Results: Age of patients ranged from 21 to 70 years mean age being 42.6 ± 6.9 years, maximum patients (53.4%) belonged to 41-50 years of age group. Most common histopathological pattern was normal cyclical endometrium (47.3%) followed by endometrial hyperplasia (42.9%). Endometrial hyperplasia was most common (57.1%) in perimenopausal age group (41-50 years). The diagnostic accuracy of D &C was found to be 93.4%; amongst all histopathological patterns it was maximum for complex hyperplasia (typical and atypical) and simple atypical hyperplasia. Conclusion: Endometrial causes of AUB are age related therefore it is specially recommended in women of perimenopausal age group to rule out preneoplastic and neoplastic etiology. D & C is an accurate, minimally invasive outdoor procedure for detecting endometrial pathology especially hyperplasia.en_US
dc.identifier.citationShah Rupal, Dayal Anupama, Kothari Sadhana, Patel Shanti, Dalal Bharati. International Journal of Medical Science and Public Health. 2014 ; 3(4): 452-456.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/153373
dc.language.isoenen_US
dc.source.urihttps://www.ijmsph.com/?mno=151081en_US
dc.subjectAbnormal Uterine Bleedingen_US
dc.subjectDilatation & Curettageen_US
dc.subjectEndometriumen_US
dc.subjectHyperplasiaen_US
dc.subjectPerimenopausalen_US
dc.titleHistopathological interpretation of endometrium in abnormal uterine bleeding.en_US
dc.typeArticleen_US
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