Document Detail

Endometrial cells identified in cervical cytology in women > or = 40 years of age: criteria for appropriate endometrial evaluation.
MedLine Citation:
PMID:  17547898     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: No consensus exists regarding evaluation of asymptomatic premenopausal women with benign endometrial cells (BECs) identified on cervical cytology. We determined the frequency of uterine pathology in asymptomatic women, > or = 40 years of age, positive for BECs on cervical cytology. STUDY DESIGN: Cervical cytopathology records from a Midwestern US teaching hospital from April 2002 through December 2005 were reviewed and cases with BECs identified. Patient age, symptomatology, and endometrial sampling results were obtained. RESULTS: Of 194,717 records examined, 1784 (0.9%) of women > or = 40 years had BECs present and 440 had follow-up endometrial pathology. There were 4 cases of complex hyperplasia with atypia, 2 from patients < or = 50 years, 1 was asymptomatic; 4 cases of adenocarcinoma were identified, all from women > 50 years. CONCLUSION: To date, the present study is among the largest follow-up studies of women with BECs on cervical cytology. Follow-up endometrial sampling may not be indicated in asymptomatic patients < or = 50 years.
Heather N Beal; Jason Stone; Michael J Beckmann; Mary E McAsey
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  196     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-05     Completed Date:  2007-10-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  568.e1-5; discussion 568.e5-6     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Southern Illinois University School of Medicine, Springfield, IL.
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MeSH Terms
Adenocarcinoma / diagnosis
Cervix Uteri / pathology*
Endometrial Hyperplasia / diagnosis
Endometrial Neoplasms / diagnosis
Endometritis / diagnosis
Endometrium / pathology*
Follow-Up Studies
Leiomyoma / diagnosis
Polyps / diagnosis
Uterine Hemorrhage / etiology
Vaginal Smears*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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