DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20201065

Retrospective study of histopathological pattern of endometrium in abnormal uterine bleeding

A. Shantha, Nazia Hussain

Abstract


Background: Abnormal uterine bleeding (AUB) is a common gynaecological complaint associated with considerable morbidity. It significantly affects the patient’s family personal and social life. The aim of this study was to analyse the histopathological patterns of endometrium in patients presenting with AUB.

Methods: This is a retrospective study conducted in the teaching hospital in the department of obstetrics and gynecology along with the pathology department. All patients with AUB were included in the study. This study of 138 samples both from hysterectomy specimens and endometrial biopsy were included.

Results: The specimen obtained for examination of the endometrial samples 86 comprised from dilatation and curettage and rest 52 samples were obtained from hysterectomy specimens. Most common histopathological pattern was found to be proliferative endometrium, followed by disordered proliferative endometrium and atropic endometrium.

Conclusions: Study of the histopathological pattern of the endometrial biopsies can be included in the initial evaluation of women with AUB when the cause of bleeding is not known along with ultrasound examination, then using it as the last modality for diagnostic and therapeutic purposes, irrespective of age group.


Keywords


Abnormal uterine bleeding, Endometrial biopsy, Histopathology, Hysterectomy

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References


Shah FR, Thaker GS, Shah JM. Clinico-histopathological analysis in patients with abnormal uterine bleeding. Nat J Integ Res Med. 2016;7(5):14-7.

Dahiya N, Prabhakar N, Sharma U, Saxena A. Histopathological study of endometrium in abnormal uterine bleeding in reference to different age groups, parity and patterns of bleeding. Indian J Pub Health Res Develop. 2018;9(3):98-102.

Mirza T, Akram S, Mirza A, Aziz S, Mirza T, Mustansar T. Histopathological pattern of abnormal uterine bleeding in endometrial biopsies. J Basic Appl Sci. 2012;8(1):114-7.

Vaidya S, Lakhey M, Vaidya S, Sharma PK, Hirachand S, Lama S, et al. Histopathological pattern of abnormal uterine bleeding in endometrial biopsies. Nepal Med Coll J. 2013;15(1):74-7.

Tomar YS, Agarwal K, Singh S, Singh UR. Study of histopathological lesion of endometrial biopsy in women presenting with abnormal uterine bleeding: a retrospective study. Global J Res Analysis. 2020;8(12):917.

Kumari A, Kumar R. Abnormal uterine bleeding in peri-menopausal age: an observational study. Indian J Obstet Gynecol Res. 2018;5(4):539-43.

Gredmark T, Kvint S, Havel G, Mattsson LÅ. Histopathological findings in women with postmenopausal bleeding. Inter J Obstet Gynaecol. 1995;102(2):133-6.

Lakshmi S. Essentials of gynaecology. 2nd ed; New Delhi: Wolters Kluwer India Pvt Ltd; 2012:26-28.

Doraiswami S, Johnson T, Rao S, Rajkumar A, Vijayaraghavan J, Panicker VK. Study of endometrial pathology in abnormal uterine bleeding. The J Obstet Gynecol India. 2011;61(4):426.