Correlation of Transvaginal USG and Endometrial aspiration findings with various menstruation patterns and histopathological examination of Uterus
Abstract
Background: Abnormal uterine bleeding (AUB) may be acute or chronic and is defined as bleeding from the uterine corpus that is abnormal in regularity, volume, frequency or duration and occurs in absence of pregnancy and it is a common manifestation of both benign & malignant diseases of the uterus. Material &
Methods: This was a prospective study carried out in the department of Obstetrics & Gynecology, Rama Medical College, Mandhana Kanpur during the three-year period from July 2014 July 2017. A total of 106 patients who were willing to participate in the study and had given consent for endometrial aspiration followed by hysterectomy were enrolled for the study. Data were recorded with respect to sociodemographic characteristics, clinical ultrasound and histopathological findings of the study population.
Result: Majority of cases of AUB were diagnosed with adenomyosis followed by fibroid. Though ultrasound diagnosis of adenomyosis and fibroid were missed in some cases but the endometrial aspiration correlated well with the histopathological findings on hysterectomized specimen.
Conclusion: Every woman presenting with AUB more than 40 Years must undergo endometrial aspiration assessment prior to hysterectomy to rule out any underlying malignancy and every hysterectomy specimen should be sent for final histopathological diagnosis as it is necessary for confirmation of the diagnosis as well as proper management and counseling of the patients.
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