ENDOMETRIAL STUDY IN ABNORMAL UTERINE BLEEDING FOR A PERIOD OF ONE YEAR IN A TERTIARY CARE CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 91
Abstract
BACKGROUND Abnormal uterine bleeding is one of the common but complicated clinical presenting symptom in gynaecology outpatient department and has a significant morbidity which interferes with the personal, family and social life of a woman. MATERIALS AND METHODS It is a prospective observational study conducted in the Department of Pathology, Andhra Medical College, Visakhapatnam, for a period of one year from June 2016 to May 2017. A total of 715 patients in the age group of 18 to 65 years were included in this study. Endometrial samples were obtained and histopathological examinations were conducted. All the clinical details and investigation reports were collected. RESULTS Out of total 715 cases, abnormal uterine bleeding (AUB) was most commonly seen in the perimenopausal age group of 41 to 50 in 314 cases (43.92%), 556 cases (79.9%) were due to functional causes, while the remaining 140 cases (20.1%) showed definite endometrial pathology. Proliferative endometrium was the most common functional histology seen in 361 cases (50.48%). Nonatypical endometrial hyperplasia was the most common pathological cause of AUB seen in 35 cases (4.89%). Atypical endometrial hyperplasia was seen in 6 cases (0.8%). Endometrial carcinoma was seen in 15 cases (2.1%) with predominant age group being postmenopausal consisting of 8 cases (53.33%) followed by 6 cases in perimenopausal age group (40%). CONCLUSION Histopathology is the gold standard for studying the pattern of endometrium and identifying the different causes of abnormal endometrial bleeding.
Authors and Affiliations
Chamakuri Nirmala, Seeram Satish Kumar, Atla Bhagyalakshmi
Keywords
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- EP ID EP278284
- DOI 10.14260/jemds/2017/1389
- Views 84
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