Study of Endometrial Pathology in Abnormal Uterine Bleeding
Journal Title: International Journal of Biomedical and Advance Research - Year 2017, Vol 8, Issue 2
Abstract
Objectives: To evaluate histopathology of endometrium in patients presenting with abnormal uterine bleeding and to find out the prevalence of various pathological conditions in endometrium in different age groups. Method: Total number of 300 cases clinically presenting with AUB were studied from October 2014 to September 2015. The study included endometrial curettage, biopsy and hysterectomy specimens. Results: Most common histopathological finding was proliferative phase and the most common abnormality detected was retained products of conception in 21- 40 years age group. Most common histopathological finding in 41- 50 years age group was also proliferative phase and the most common abnormality detected was endometrial hyperplasia. In 51- 60 years and >60years age groups, endometrial carcinoma constituted the most common pathology followed by endometrial hyperplasia. Conclusion: Histological examination of the submitted endometrial tissue remains the standard diagnostic procedure for the assessment of AUB. Establishing a cause of AUB is important, as medical therapy is effective in managing abnormal bleeding in most cases and should be attempted before surgical management. Histopathological evaluation of endometrium is especially indicated in women over the age of 35 years to rule out preneoplastic lesions and malignancies.
Authors and Affiliations
Anam Khan, Ruchee Khandelwal, Shashibala Arya, Hema Pant
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