Spectrum of Endometrial lesions in patients presenting with abnormal uterine bleeding
Journal Title: Indian Journal of Pathology and Oncology - Year 2018, Vol 5, Issue 4
Abstract
Introduction Most of the patients with bleeding per vaginum undergo either colposcopic evaluation or Pap smear for cervical pathology or Trans Vaginal Ultrasound and endometrial biopsy to diagnose the definite pathology affecting endometrium This study was done to see the pattern of histopathological spectrum of endometrial biopsy and their clinical correlation in a tertiary care hospitalMaterials and Methods This was a retroprospective study conducted at a tertiary care hospital in western Maharashtra 1000 biopsy cases were studied Light microscopy examination and clinical diagnoses were correlatedResults out of 1000 patients maximum number belonged to perimenopausal age group followed by reproductive age group and then postmenopausal age group In 483 cases normal histopathological pattern was observed out of which 259 cases showed proliferative phase endometrium 259 and 224 cases showed secretory phase 224 104 cases showed simple 104 and 43 cases 43 complex hyperplasia Exogenous hormonal effect was seen in 148 cases 148 The least pattern which was observed was endometrial carcinoma seen in only 23 of patientsConclusion The study showed that carcinoma was most common in the postmenopausal age group This group also had the maximum frequency of atrophic endometrium and complex hyperplasia Proliferative endometrium was recorded highest in perimenopausal age group while reproductive age group showed highest frequency of secretory type endometrium This study is in concordance with most other conducted studies on similar parametersKeywords Biopsy Endometrium Uterine bleeding
Authors and Affiliations
Tushar Kambale, M Banyameen Iqbal, Anushree Khandelwal, Ashily Koshy, Bedarshi Banerjee
Keywords
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- EP ID EP475924
- DOI 10.18231/2394-6792.2018.0113
- Views 39
- Downloads 0
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