Document Detail

Prevalence of hysteroscopic findings and histologic diagnoses in patients with abnormal uterine bleeding.
MedLine Citation:
PMID:  17889860     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To describe the prevalence of hysteroscopic findings and histologic diagnoses in patients with abnormal uterine bleeding (AUB). DESIGN: Retrospective series of consecutive patients. SETTING: Tertiary care university hospital and private office. PATIENT(S): Four thousand fifty-four hysteroscopies with biopsy in patients with AUB evaluated between June 1993 and December 2004. INTERVENTION(S): Hysteroscopies were performed using 2.9-mm or 4-mm telescopes with CO(2) or saline as the distension media. Biopsies were done with a 5-mm grasper or with a Novak's curette. MAIN OUTCOME MEASURE(S): Prevalence of hysteroscopic findings and histologic analysis of biopsies. RESULT(S): Endometrial polyp was the most frequent hysteroscopic finding, accounting for 1,374 (33.9%) cases. Normal uterine cavity and cervical canal were found in 814 (20.1%) patients. Submucous fibroids were diagnosed in 302 (7.5%) women. Normal endometrium was the most frequent histologic diagnosis, accounting for 1,888 (46.6%) cases. Endometrial polyp was found in 1,115 (27.5%) patients. Endometrial hyperplasia was diagnosed in 613 (15.1%) and endometrial cancer in 105 (2.6%) women. CONCLUSION(S): Endometrial polyps are the most frequent hysteroscopic findings in patients with AUB, whereas normal endometrium is the most frequent histologic diagnosis.
Ricardo Bassil Lasmar; Rogério Dias; Paulo Roberto Mussel Barrozo; Marco Aurélio Pinho Oliveira; Evandro da Silva Freire Coutinho; Daniela Baltar da Rosa
Publication Detail:
Type:  Journal Article     Date:  2007-09-24
Journal Detail:
Title:  Fertility and sterility     Volume:  89     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-03     Completed Date:  2008-08-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1803-7     Citation Subset:  IM    
Department of Gynecology, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil.
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MeSH Terms
Endometrial Neoplasms / pathology
Hysteroscopy / methods*
Infertility, Female / etiology,  pathology
Myoma / pathology
Polyps / pathology
Retrospective Studies
Uterine Hemorrhage / pathology*
Uterine Neoplasms / pathology
Uterus / pathology*

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