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Endometrial Curettage When and for Who

Received: 12 February 2015     Accepted: 27 February 2015     Published: 9 March 2015
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Abstract

In this study, the histopathological diagnoses pertaining to curettage material and the clinical necessity and results of endometrial curettagein age groups of patients in our region who had curettage due to abnormal uterine bleeding were studied. Thehistopathological diagnoses of patients with the above-mentioned criteria were scanned, excluding those related to pregnancy. 409 cases were re-examined and evaluated by a group consisting of three pathologists. Diagnoses were classified into 10 different groups. According to this classification system, out of the total number of cases, 100 were defined as endometrial polyp (24.4%), 72 cases as secretory endometrium (17.6%), 59 cases as proliferative endometrium (14.4%), 51 cases as stromal/glandular degeneration (12.5%), 32 cases as irregular proliferation (7.8%), 26 cases as insufficient (6.4%), 22 cases as chronic endometritis (5.6%), 18 cases as decidualization (4.4%), 17 cases as endometrial hyperplasia (complex atypical)/ adenocarcinoma (4.2%), and 12 cases as others (inactive, atrophic, basal and menstrual endometrium) (2.9%). The average age of the 409 cases was 44.8±7.8. Upon evaluation of curettage due to abnormal uterine bleeding in the approximate 3 year period in our region, and taking into consideration the age distribution, it was observed that the clinical pre-diagnoses of patients especially with endometrial polyps and precancerous lesions were coherent with the corresponding histopathological diagnoses.

Published in Journal of Cancer Treatment and Research (Volume 3, Issue 2)
DOI 10.11648/j.jctr.20150302.11
Page(s) 17-21
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Endometrium, Curettage, Histopathological Diagnosis, Age

References
[1] Doraiswami S., Johnson T., Rao S., Rajkumar A., Vijayaraghavan J., Panicker VK. Study of Endometrial Pathology in Abnormal Uterine Bleeding.J Obstet Gynaecol India. 2011; 61(4):426-30.
[2] Lasmar BP., Lasmar RB. Endometrial polyp size and polyp hyperplasia.Int J Gynaecol Obstet. 2013 ;123(3):236-9
[3] Çakmak B., Karataş A., TuranG. Endometrial Örnekleme Sonuçlarımız: 400 Olgunun Analizi.Selçuk Tıp Derg. 2012; 28(3):163-166
[4] Goertzen J., Hutten-Czapski P. The occasional endometrial biopsy.Can J Rural Med. 2010; 15(3):113-7
[5] Carvalho FM, Aguiar FN, Tomioka R, de Oliveira RM, Frantz N, Ueno J. Functional endometrial polyps in infertile asymptomatic patients: a possible evolution of vascular changes secondary to endometritis.Eur J Obstet Gynecol Reprod Biol. 2013; 170(1):152-6.
[6] Sweet MG, Schmidt-Dalton TA, Weiss PM, Madsen KP. Evaluation and Management of Abnormal Uterine Bleeding in Premenopausal Women. Am Fam Physician. 2012 ; 85(1): 35-43.
[7] Dascanio JJ, McCuePM, Endometrial Biopsy. John Wiley & Sons. Published Online: 27 JUN 2014 DOI: 10.1002/9781118904398.ch19
[8] Saadia A, Mubarik A, Zubair A, Jamal S, Zafar A.Diagnostic accuracy of endometrial curettage in endometrial pathology.J Ayub Med Coll Abbottabad. 2011 ; 23(1):129-31.
[9] Silverberg SG.The Endometrium Pathologic Principles and Pitfalls. Arch Pathol Lab Med. 2007; 131: 372-82
[10] McCluggage WG. My approach to the interpretation of endometrial biopsies and curettings. J Clin Pathol. 2006 ;59(8):801-12
[11] İvit H., Köksal A., Çukurova K., Keklik A., Yıldız A., Yetimalar H., Sapmaz L. Postmenopozal kanamalı olguların endobrush endometrial örnekleme yöntemiyle değerlendirilmesi. SSK İzmir Eğitim Hastanesi Tıp Dergisi. 2004, 10 (1): 15-19.
[12] Endometrial hiperplazi tanısı verilen hastaların prognozlarının retrospektif olarak değerlendirilmesi Oğuz S., L. Gözeri L.İ., Akdoğan E.,K., Saraç G., Akyağcı A.
[13] Blaustein's Pathology of the Female Genital Tract Kurman, Robert J., Hedrick Ellenson, Lora, Ronnett, Brigitte M. (Eds.)6th ed. 2011,page 305- 452.
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  • APA Style

    Aslıhan Duman, Ferah Tuncel Daloğlu, Yeliz Arman Karakaya, Aysun Aras. (2015). Endometrial Curettage When and for Who. Journal of Cancer Treatment and Research, 3(2), 17-21. https://doi.org/10.11648/j.jctr.20150302.11

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    ACS Style

    Aslıhan Duman; Ferah Tuncel Daloğlu; Yeliz Arman Karakaya; Aysun Aras. Endometrial Curettage When and for Who. J. Cancer Treat. Res. 2015, 3(2), 17-21. doi: 10.11648/j.jctr.20150302.11

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    AMA Style

    Aslıhan Duman, Ferah Tuncel Daloğlu, Yeliz Arman Karakaya, Aysun Aras. Endometrial Curettage When and for Who. J Cancer Treat Res. 2015;3(2):17-21. doi: 10.11648/j.jctr.20150302.11

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  • @article{10.11648/j.jctr.20150302.11,
      author = {Aslıhan Duman and Ferah Tuncel Daloğlu and Yeliz Arman Karakaya and Aysun Aras},
      title = {Endometrial Curettage When and for Who},
      journal = {Journal of Cancer Treatment and Research},
      volume = {3},
      number = {2},
      pages = {17-21},
      doi = {10.11648/j.jctr.20150302.11},
      url = {https://doi.org/10.11648/j.jctr.20150302.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jctr.20150302.11},
      abstract = {In this study, the histopathological diagnoses pertaining to curettage material and the clinical necessity and results of endometrial curettagein age groups of patients in our region who had curettage due to abnormal uterine bleeding were studied. Thehistopathological diagnoses of patients with the above-mentioned criteria were scanned, excluding those related to pregnancy. 409 cases were re-examined and evaluated by a group consisting of three pathologists. Diagnoses were classified into 10 different groups. According to this classification system, out of the total number of cases, 100 were defined as endometrial polyp (24.4%), 72 cases as secretory endometrium (17.6%), 59 cases as proliferative endometrium (14.4%), 51 cases as stromal/glandular degeneration (12.5%), 32 cases as irregular proliferation (7.8%), 26 cases as insufficient (6.4%), 22 cases as chronic endometritis (5.6%), 18 cases as decidualization (4.4%), 17 cases as endometrial hyperplasia (complex atypical)/ adenocarcinoma (4.2%), and 12 cases as others (inactive, atrophic, basal and menstrual endometrium) (2.9%). The average age of the 409 cases was 44.8±7.8. Upon evaluation of curettage due to abnormal uterine bleeding in the approximate 3 year period in our region, and taking into consideration the age distribution, it was observed that the clinical pre-diagnoses of patients especially with endometrial polyps and precancerous lesions were coherent with the corresponding histopathological diagnoses.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Endometrial Curettage When and for Who
    AU  - Aslıhan Duman
    AU  - Ferah Tuncel Daloğlu
    AU  - Yeliz Arman Karakaya
    AU  - Aysun Aras
    Y1  - 2015/03/09
    PY  - 2015
    N1  - https://doi.org/10.11648/j.jctr.20150302.11
    DO  - 10.11648/j.jctr.20150302.11
    T2  - Journal of Cancer Treatment and Research
    JF  - Journal of Cancer Treatment and Research
    JO  - Journal of Cancer Treatment and Research
    SP  - 17
    EP  - 21
    PB  - Science Publishing Group
    SN  - 2376-7790
    UR  - https://doi.org/10.11648/j.jctr.20150302.11
    AB  - In this study, the histopathological diagnoses pertaining to curettage material and the clinical necessity and results of endometrial curettagein age groups of patients in our region who had curettage due to abnormal uterine bleeding were studied. Thehistopathological diagnoses of patients with the above-mentioned criteria were scanned, excluding those related to pregnancy. 409 cases were re-examined and evaluated by a group consisting of three pathologists. Diagnoses were classified into 10 different groups. According to this classification system, out of the total number of cases, 100 were defined as endometrial polyp (24.4%), 72 cases as secretory endometrium (17.6%), 59 cases as proliferative endometrium (14.4%), 51 cases as stromal/glandular degeneration (12.5%), 32 cases as irregular proliferation (7.8%), 26 cases as insufficient (6.4%), 22 cases as chronic endometritis (5.6%), 18 cases as decidualization (4.4%), 17 cases as endometrial hyperplasia (complex atypical)/ adenocarcinoma (4.2%), and 12 cases as others (inactive, atrophic, basal and menstrual endometrium) (2.9%). The average age of the 409 cases was 44.8±7.8. Upon evaluation of curettage due to abnormal uterine bleeding in the approximate 3 year period in our region, and taking into consideration the age distribution, it was observed that the clinical pre-diagnoses of patients especially with endometrial polyps and precancerous lesions were coherent with the corresponding histopathological diagnoses.
    VL  - 3
    IS  - 2
    ER  - 

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Author Information
  • Isparta State Hospital, Pathology Specialist, Isparta, Turkey

  • A?r? Public Health Directorate, Public Health Specialist, A?r?, Turkey

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