Prospective comparison of biopsy results from curettage and hysteroscopy in postmenopausal uterine bleeding

被引：32

作者：

Lee, Dong Ock ^{[2
,3
]}

Jung, Min Hyung ^{[4
]}

Kim, Heung Yeol ^{[1
]}

机构：

[1] Kosin Univ, Coll Med, Dept Obstet & Gynecol, Pusan 602702, South Korea

[2] Natl Canc Ctr, Ctr Uterine Canc, Goyang Si, South Korea

[3] Natl Canc Ctr, Ctr Canc Prevent & Early Detect, Goyang Si, South Korea

[4] Kyung Hee Univ, Sch Med, Dept Obstet & Gynecol, Seoul, South Korea

来源：

JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH | 2011年 / 37卷 / 10期

关键词：

abnormal uterine bleeding; biopsy; dilatation and curettage; hysteroscopy; menopause; ENDOMETRIAL THICKNESS; DIAGNOSTIC-ACCURACY; FOLLOW-UP; WOMEN; DILATATION; POLYPS; CANCER;

D O I：

10.1111/j.1447-0756.2011.01558.x

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Aim: To evaluate the diagnostic accuracy of biopsy by dilatation and curettage in postmenopausal women with abnormal uterine bleeding. Material and Methods: A prospective observational study conducted with 112 consecutive postmenopausal women. Biopsy by dilatation and curettage was immediately followed by hysteroscopic biopsy and the histologic results were compared. Results: By curettage, although performed under anesthesia, 3/3 (100%) cases of endometrial hyperplasia were reported as normal proliferative endometrium. There were two endometrial cancers (1.8%) and one case was missed as normal endometrium by curettage. Among endometrial polyps, only 3/39 (7.7%) cases were diagnosed by curettage. Conclusions: In postmenopausal women with abnormal uterine bleeding, biopsy by curettage may be not reliable for evaluation of endometrial pathology.

引用

页码：1423 / 1426

页数：4

共 17 条

[1] Endometrial polyps in pre- and postmenopausal women: Factors associated with malignancy
Antunes, A., Jr.
Costa-Paiva, L.
Arthuso, M.
Costa, J. V.
Pinto-Neto, A. M.
[J]. MATURITAS, 2007, 57 (04) : 415 - 421
[2] Probability analysis for diagnosis of endometrial hyperplasia and cancer in postmenopausal bleeding: an approach for a rational diagnostic workup
Bachmann, LM
ter Riet, G
Clark, TJ
Gupta, JK
Khan, KS
[J]. ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2003, 82 (06) : 564 - 569
[3] Diagnostic inadequacy of dilatation and curettage
Bettocchi, S
Ceci, O
Vicino, M
Marello, F
Impedovo, L
Selvaggi, L
[J]. FERTILITY AND STERILITY, 2001, 75 (04) : 803 - 805
[4] Predictive value of hysteroscopic examination in intrauterine abnormalities
Birinyi, L
Daragó, P
Török, P
Csiszár, P
Major, T
Borsos, A
Bacskó, G
[J]. EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2004, 115 (01) : 75 - 79
[5] Chittacharoen A, 2000, J Obstet Gynaecol Res, V26, P277
[6] Rebleeding and endometrial growth in women with postmenopausal bleeding and endometrial thickness < 5 mm managed by dilatation and curettage or ultrasound follow-up:: a randomized controlled study
Epstein, E
Valentin, L
[J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2001, 18 (05) : 499 - 504
[7] A COMPARATIVE-STUDY BETWEEN PANORAMIC HYSTEROSCOPY WITH DIRECTED BIOPSIES AND DILATATION AND CURETTAGE - A REVIEW OF 276 CASES
GIMPELSON, RJ
RAPPOLD, HO
[J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1988, 158 (03) : 489 - 492
[8] Kun K Y, 1999, J Obstet Gynaecol Res, V25, P119
[9] Prevalence of hysteroscopic findings and histologic diagnoses in patients with abnormal uterine bleeding
Lasmar, Ricardo Bassil
Dias, Rogerio
Mussel Barrozo, Paulo Roberto
Pinho Oliveira, Marco Aurelio
Freire Coutinho, Evandro da Silva
da Rosa, Daniela Baltar
[J]. FERTILITY AND STERILITY, 2008, 89 (06) : 1803 - 1807
[10] Hysteroscopic resection of symptomatic and asymptomatic endometrial polyps
Lieng, Marit
Qvigstad, Erik
Sandvik, Leiv
Jorgensen, Hilde
Langebrekke, Anton
Istre, Olav
[J]. JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2007, 14 (02) : 189 - 194

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