COMPARATIVE EVALUATION OF BIOPSY METHODS IN PRE- AND POSTMENOPAUSAL WOMEN WITH ENDOMETRIAL PATHOLOGY

Authors:

Abstract:

The study aimed to evaluate the effectiveness of the methods by comparing the histological results obtained using two endometrial sampling methods (endometrial aspiration biopsy using Pipelle and traditional dilatation and curettage) with the histological results of the hysterectomy sample. In total 57 women, both pre- and postmenopausal, who were experiencing abnormal uterine bleeding and postmenopausal bleeding, were examined using two techniques for obtaining endometrial samples. Among the 57 women, 41 experienced perimenopausal uterine bleeding, while 16 presented with postmenopausal uterine bleeding. During the ultrasound examination, endometrial polyps were detected in 19.3 % of cases, uterine fibroids in 73.7 %, and signs of adenomyosis in 35.1 % of patients. Inga ding of sensitivity, Pipelle biopsy, dilatation, and curettage demonstrated detection rates of 30.8 % and 61.5 %, respectively, for identifying endometrial polyps. For cases of endometrial hyperplasia without atypia, these figures were 89.7 %, and 84.6 %, respectively. Notably, both methods exhibited 100 % sensitivity in diagnosing atypical hyperplasia.

Keywords:

dilatation and curettage perimenopausal bleeding Pipelle biopsy endometrial polyps endometrial hyperplasia

References:

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Publication:

«World of Medicine and Biology» Vol. 20 No. 89 (2024) , с. 117-120
УДК 618.14-002.2 (075.8)

DOI:

https://doi.org/10.26724/2079-8334-2024-3-89-117-120