Pearls And Pitfalls Of Endometrial Curettage With That Of Hysterectomy In DUB
Professor of Pathology
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Aim and objectives : To study and compare the concordance of various histomorphological patterns in endometrial curettage and the subsequent hysterectomy specimen in dysfunctional uterine bleeding and hence to evaluate the causes for the disconcordance.
Material and Method : All the 131 cases which presented with DUB from January 2005 to December 2009 and which underwent endometrial curettage and subsequent hysterectomy were studied and analyzed for concordance and disconcordance.
Results : Our cases ranged in ages from 28â€“65 years and presented clinically with DUB, the mean duration between the curettage and the hysterectomy being 4.5 weeks.51.1% of the cases showed concordance between the fractional curettage and hysterectomy and the highest concordance was seen in the phasing of the endometrium, followed by complex hyperplasia and then simple hyperplasia. However, 4.58% of the cases of the fractional curettage were inadequate to report.
Conclusion : The consistency rate of the endometrial tissue from the curettage and the hysterectomy specimens was only modest. This rate was lower in simple hyperplasia as compared to complex hyperplasia.