HISTOPATHOLOGY OF ENDOMETRIAL CURETTINGS IN PERIMENOPAUSAL WOMEN WITH ABNORMAL UTERINE BLEEDING
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 24
Abstract
BACKGROUND Abnormal Uterine Bleeding (AUB) is one of the common complaints in the Gynaecology Outpatient Department. Endometrial sampling by dilatation and curettage is done to find out the aetiology of AUB in perimenopausal women. OBJECTIVES The aim of the study is to find out common histopathological diagnosis of endometrial samples of perimenopausal women with AUB and to categorize the causes in relation to clinical presentation. RESULTS The prospective study was done at the Department of Pathology, Karpaga Vinayaga Institute of Medical Sciences, during the period from June 2013 to August 2015. Perimenopausal women (41-50 yrs.) with AUB were included in the study. The commonest clinical presentation was menorrhagia followed by metrorrhagia. Endometrial samples of all 74 perimenopausal women with AUB were evaluated by histopathological examination. The commonest histopathological finding was proliferative endometrium (23%) followed by simple hyperplasia (16.2%), secretory endometrium (14.9%) and complex hyperplasia (10.8%). Endometrial carcinoma was diagnosed in 2 patients (2.7%). CONCLUSION Endometrial causes of AUB evaluated by histopathological examination of curettings revealed that proliferative and secretory endometrium was the commonest diagnosis followed by simple hyperplasia.
Authors and Affiliations
Thukkaram , Sekar , Ramamurthy , Arun Harke, Ekambaranathan , Sigamani , Balakrishnan
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