A STUDY OF HISTOPATHOLOGICAL ANALYSIS OF ENDOMETRIAL BIOPSY IN PATIENTS REPORTING WITH ABNORMAL UTERINE BLEEDING

Dr Jai Pratibha Varshney, Dr Atul Seth, Dr Arunav Sharma, Dr Kedarnath S

Abstract


Background: Abnormal uterine bleeding is one of the commonest presenting complaints in a Gynaecology OPD. It can
be because of benign conditions such as anovulatory cycles or because of more serious problems like endometrial
hyperplasia or cancer. Thus, endometrial biopsy and its histo- pathological analysis forms an essential part of work up of these cases.
Methods: We carried out a time bound study over a period of one year at a Municipal Government Women's Hospital. Patients as per the inclusion
and exclusion criteria were included in the study. The endometrial biopsy was taken in the OPD with a Pippelle or a Karman's Canula connected to
a MVA syringe. Endometrial sample was sent to the lab and histo-pathological report obtained and analysed.
Results: It was seen that the commonest cause nding was a secretory endometrium. In women who had history of prolonged cycles, the
commonest nding was that of proliferative endometrium. We found Hyperplasia with atypia in 5% cases and endometrial cancer in two patients.
Conclusion: A large number of patients who report for abnormal uterine bleeding should be subjects to endometrial sampling in OPD. Though
the majority of the patients have benign etiology, atypia and malignancy may also be picked up.


Keywords


pathological examination Municipal Government

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