Preoperative and postoperative agreement of histopathological findings in cases of endometrial hyperplasia.

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dc.contributor.authorKleebkaow, Pilaiwanen_US
dc.contributor.authorManeetab, Sumathanaen_US
dc.contributor.authorSomboonporn, Woraluken_US
dc.contributor.authorSeejornj, Kanoken_US
dc.contributor.authorThinkhamrop, Jedsadaen_US
dc.contributor.authorKamwilaisak, Ratanaen_US
dc.date.accessioned2009-05-27T17:40:15Z
dc.date.available2009-05-27T17:40:15Z
dc.date.issued2008-01-29en_US
dc.descriptionAsian Pacific Journal of Cancer Prevention.en_US
dc.description.abstractOBJECTIVE: To determine agreement of preoperative and postoperative histopathology of endometrial hyperplasia (EH). MATERIALS AND METHODS: Histopathology of specimens obtained by curettage and hysterectomy within 1 year was retrospectively compared by a skilled gynecological pathologist. Patients who received hormone therapy were excluded. RESULTS: Of 79 women with a preoperative diagnosis of EH, only 32 were diagnosed as EH from hysterectomy specimens. There was no endometrial cancer. The agreement between preoperative and postoperative histology did not achieve statistical significance (Kappa 0.011). Postoperative histopathology was more severe than preoperative diagnosis in 5 (6.3%) patients, including 3 preoperative diagnoses of simple hyperplasia without atypia, 1 simple hyperplasia with atypia, and 1 complex hyperplasia without atypia. CONCLUSIONS: For EH diagnosed by curettage, we can be sure of the diagnosis. However, 6.3% had more severe histology from hysterectomy specimens. Thus, repeated curettage or other investigations should be reconsidered in women with recurrent bleeding.en_US
dc.description.affiliationDepartment of Obstetrics and Gynecology, Faculty of Medicine Khon Kaen University, Thailand. kpilai@kku.ac.then_US
dc.identifier.citationKleebkaow P, Maneetab S, Somboonporn W, Seejornj K, Thinkhamrop J, Kamwilaisak R. Preoperative and postoperative agreement of histopathological findings in cases of endometrial hyperplasia. Asian Pacific Journal of Cancer Prevention. 2008 Jan-Mar; 9(1): 89-91en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/37640
dc.language.isoengen_US
dc.source.urihttps://www.apocp.orgen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshCurettage --methodsen_US
dc.subject.meshDiagnosis, Differentialen_US
dc.subject.meshEndometrial Hyperplasia --pathologyen_US
dc.subject.meshEndometrial Neoplasms --pathologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshHysterectomyen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPostoperative Careen_US
dc.subject.meshPreoperative Careen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshTreatment Outcomeen_US
dc.titlePreoperative and postoperative agreement of histopathological findings in cases of endometrial hyperplasia.en_US
dc.typeJournal Articleen_US
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