Hysteroscopic Appearance of Endometrial Hyperplasia in Patients Presenting with Abnormal Uterine Bleeding
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 7
Abstract
To study the hysteroscopic appearance of endometrial hyperplasia in women with subsequently confirmed diagnosis of endometrial hyperplasia on HPE. This study was done in department of obstetrics and gynecology at SMS medical college, Jaipur, from FEB 2017 to JUL 2018. 73 women, who presented with abnormal uterine bleeding, underwent hysteroscopy with direct biopsy of the endometrium and sent for HPE. Endometrial hyperplasia was the most common cause of AUB in our study comprising 19.18% (14) of total cases. 13 cases had endometrial hyperplasia on final diagnosis by HPE. Hysteroscopic appearances of these 13 cases were reviewed. In two cases with simple cystic hyperplasia, there were obvious cystic bizarre views. In eight cases, endometrial hyperplasia was characterized by an increase in the size and volume of glands. Hysteroscopic appearance of endometrial hyperplasia includes an increase in the endometrial thickness, polypoidal formation, and increased vascularization, wave like endometrial surface and irregular arrangements of glandular orifices. In two cases there was minimal hysteroscopic abnormal view. In one case which was endometrial hyperplasia with atypia, there were obvious white endometrial elevations in the endometrial lining. Endometrial hyperplasia may produce obvious space occupying lesions in which diagnosis is easy with hysteroscopy, but it may not be very obvious especially in early stages of the disease. Hence, hysteroscopy should be considered in combination with biopsy in AUB to increase its sensitivity as well as positive predictive value in cases with endometrial hyperplasia.
Authors and Affiliations
Dr. Lila Vyas, Dr. Sonal Agrawal, Dr. Sarika Yadav, Dr. Lata Rajoria
Keywords
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