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Agreement of histopathological findings of uterine curettage and hysterectomy specimens in women with abnormal uterine bleeding

OBJECTIVES: To examined the diagnostic value of dilatation and curettage (D&C) in patients with abnormal uterine bleeding (AUB) by conducting a histopathological examination of endometrial tissues by D&C and hysterectomy. METHODS: In this retrospective study, the medical records of 163 women...

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Autores principales: Moradan, Sanam, Ghorbani, Raheb, Lotfi, Azita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Saudi Medical Journal 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5447210/
https://www.ncbi.nlm.nih.gov/pubmed/28439599
http://dx.doi.org/10.15537/smj.2017.5.19368
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author Moradan, Sanam
Ghorbani, Raheb
Lotfi, Azita
author_facet Moradan, Sanam
Ghorbani, Raheb
Lotfi, Azita
author_sort Moradan, Sanam
collection PubMed
description OBJECTIVES: To examined the diagnostic value of dilatation and curettage (D&C) in patients with abnormal uterine bleeding (AUB) by conducting a histopathological examination of endometrial tissues by D&C and hysterectomy. METHODS: In this retrospective study, the medical records of 163 women who had been hospitalized in the Obstetrics and Gynecology Ward, Amir-al-Momenin Hospital, Semnan, Iran between 2010 and 2015 for diagnostic curettage due to AUB and who had undergone hysterectomy were investigated. The patients’ characteristics and histopathologic results of curettage and hysterectomy were extracted, and sensitivity and specificity and positive and negative predictive values of curettage were calculated. RESULTS: The mean ± standard deviation age of the patients was 49.8±7.8 years. The sensitivity values of D&C in the diagnosis of endometrial pathologies was 49.1%, specificity 84.5%, positive 60.5%, and negative predictive 77.5%. The sensitivities of D&C in the diagnosis of various endometrial hyperplasia was 62.5%, disordered proliferative endometrium 36.8%, and endometrial cancer 83.3%. Of 6 patients with endometrial polyps on performing hysterectomy, no patient was diagnosed by curettage. CONCLUSIONS: Dilatation and curettage has acceptable sensitivity in the diagnosis of endometrial cancer, low sensitivity in the diagnosis of endometrial hyperplasia, and very low sensitivity in the diagnosis of disordered proliferative endometrium and endometrial polyps.
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spelling pubmed-54472102017-06-02 Agreement of histopathological findings of uterine curettage and hysterectomy specimens in women with abnormal uterine bleeding Moradan, Sanam Ghorbani, Raheb Lotfi, Azita Saudi Med J Original Article OBJECTIVES: To examined the diagnostic value of dilatation and curettage (D&C) in patients with abnormal uterine bleeding (AUB) by conducting a histopathological examination of endometrial tissues by D&C and hysterectomy. METHODS: In this retrospective study, the medical records of 163 women who had been hospitalized in the Obstetrics and Gynecology Ward, Amir-al-Momenin Hospital, Semnan, Iran between 2010 and 2015 for diagnostic curettage due to AUB and who had undergone hysterectomy were investigated. The patients’ characteristics and histopathologic results of curettage and hysterectomy were extracted, and sensitivity and specificity and positive and negative predictive values of curettage were calculated. RESULTS: The mean ± standard deviation age of the patients was 49.8±7.8 years. The sensitivity values of D&C in the diagnosis of endometrial pathologies was 49.1%, specificity 84.5%, positive 60.5%, and negative predictive 77.5%. The sensitivities of D&C in the diagnosis of various endometrial hyperplasia was 62.5%, disordered proliferative endometrium 36.8%, and endometrial cancer 83.3%. Of 6 patients with endometrial polyps on performing hysterectomy, no patient was diagnosed by curettage. CONCLUSIONS: Dilatation and curettage has acceptable sensitivity in the diagnosis of endometrial cancer, low sensitivity in the diagnosis of endometrial hyperplasia, and very low sensitivity in the diagnosis of disordered proliferative endometrium and endometrial polyps. Saudi Medical Journal 2017-05 /pmc/articles/PMC5447210/ /pubmed/28439599 http://dx.doi.org/10.15537/smj.2017.5.19368 Text en Copyright: © Saudi Medical Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Moradan, Sanam
Ghorbani, Raheb
Lotfi, Azita
Agreement of histopathological findings of uterine curettage and hysterectomy specimens in women with abnormal uterine bleeding
title Agreement of histopathological findings of uterine curettage and hysterectomy specimens in women with abnormal uterine bleeding
title_full Agreement of histopathological findings of uterine curettage and hysterectomy specimens in women with abnormal uterine bleeding
title_fullStr Agreement of histopathological findings of uterine curettage and hysterectomy specimens in women with abnormal uterine bleeding
title_full_unstemmed Agreement of histopathological findings of uterine curettage and hysterectomy specimens in women with abnormal uterine bleeding
title_short Agreement of histopathological findings of uterine curettage and hysterectomy specimens in women with abnormal uterine bleeding
title_sort agreement of histopathological findings of uterine curettage and hysterectomy specimens in women with abnormal uterine bleeding
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5447210/
https://www.ncbi.nlm.nih.gov/pubmed/28439599
http://dx.doi.org/10.15537/smj.2017.5.19368
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