Study of Endometrial Biopsy Specimen in Women with Postmenopausal Bleeding
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 10
Abstract
Background: Post menopausal bleeding is a symptom for which medical aid is usually sought as it well known that the cause may be a malignant process. Therefore, slight bleeding in postmenopausal period should be thoroughly investigated. Dilatation and curettage of the uterus remains the most effective method for obtaining endometrial tissue for histologic evaluation. Methods: This study was conducted in the department of obstetrics and gynaecology, Regional institute of medical science, imphal, Manipur during the period from May 2015 to November 2016. Fifty (50) female patients with post menopausal bleeding attending the Gynaecological outpatient department and the patients who were admitted in the ward were studied. The patient were subjected for collection of endometrial biopsy by conventional dilatation and currettage. Results: The age of the patients with postmenopausal bleeding ranges from 45 years to 70 years with a mean menopausal age of 48.64 years. The lowest menopausal age in this study was 45 years and the highest 53 years. Maximum postmenopausal bleeders were found in the age group of 48 to 50 years constituting 48 percent. On the basis of the stromal and glandular component, proliferative endometrium was diagnosed in 70 percent, irregular shedding of endometrium in 8 percent, atrophic endometrium in another 8 percent and glandular hyperplasia in 6 percent. There were two percent cases of endometrial carcinoma found in this study. Conclusion: Any postmenopausal bleeding may be significant and requires a full and complete evaluation. Dilatation and currettage is the most accepted method of evaluation for postmenopausal bleeding but there is a still need for further evaluation of postmenopausal bleeding
Authors and Affiliations
Dr Kh. Ambala Devi
Primary Pelvic Hydatid Cyst: A Rare Case Report
Hydatid disease is caused by a cyclo-zoonotic parasite echinococus granulosus. Humans are accidental intermediate hosts of echinococus. Commonly involved organ is the liver followed by lungs, kidney and musculoskeletal s...
Frequency of Systemic Lupus Erythematosus in Cutaneous Lupus Erythematosus
Background: Lupus erythematosus (LE) is the root designation for a diverse array of illnesses that are linked together by distinctive clinical findings and characteristic patterns of polyclonal B-cell autoimmunity. Mater...
A Study of Probiotics Use in the Acute Diarrhoea in the Infants & Children
Background: A wide assortment of organisms cause acute diarrhoea and many of them have been discovered only in recent years such as rotavirus and campylobacter. The management of acute diarrhoea consist of the replacemen...
Sutureless Thyroidectomy using Bipolar Diathermy and Hypocalcaemia- A Comparative Study In a Tertiary Care Centre
Background: total thyroidectomy is a common elective surgical procedure in a surgery department. Postoperative complications like hypocalcaemia are relatively common due to hypoparathyroidism. The primary objective of ou...
Diagnostic Outcome of Unenhanced Focused Computed Tomography in Acute Appendicitis
Background: Acute appendicitis is one of the emergency surgeries. Confirming the diagnosis of acute appendicitis is challenging in those who present with atypical clinical features and non-specific physical findings. The...