A Histopathlogical Study of Endometrium inAbnormal UterineBleeding At A Tertiary Care Centre in Andhra Pradesh.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
Background: Abnormal uterine bleeding is a collective terminology with varied etiologies. Endometrial sampling is essential for planning treatment. Aim: To study the histopathological patterns of endometrium in women of different age groups presenting with abnormal uterine bleeding. Material and methods: This is a prospective observational study of 116 women with abnormal uterine bleeding attending the out patient department atGovernment General Hospital,Vijayawada from August 2017 to July 2018. Endometrial biopsy was taken in all women above 40 years and in women below 40 years with risk factors of endometrial cancer and or unresponsive to medical management.Histopathological examination of biopsy specimen was done by a pathologist. Data was collected and tabulated. Results were analysed using SPSS Version 24. Results: The maximum number of cases was in the 40-50 years age group with 53 cases (45.6%). Non- organic causes of abnormal uterine bleeding in this study were 78 cases (67.2%) organic causes like fibroid uterus, PID etc were seen in 38 cases (32.7%). Proliferative endometium wasseen in 60 cases (51.7%) followed by secretory pattern seen in 35 cases (30.17%). In this study endometrial hyperplasia was seen in 3 cases (2.5%) followed by endometrial cancer was seen in 1case (0.86%). Conclusion: Abnormal uterine bleeding has varied etiologies and histopathological evaluation is essential for appropriate diagnosis and management.
Authors and Affiliations
Dr. Tirunagari Lahari, Dr. Prasad Usha, Dr. D. Rajyalaxmi
Keywords
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- EP ID EP467669
- DOI 10.9790/0853-1802130106.
- Views 53
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