Diagnostic Value of Pipelle, Curretage Biopsy and Hysteroscopic Biopsy in Cases of Postmenopausal Bleeding | ||
| Zagazig University Medical Journal | ||
| Article 30, Volume 30, Issue 1.7, October 2024, Pages 4019-4032 PDF (995.21 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2024.264675.3129 | ||
| Authors | ||
| Amr Abo El-fath1; Amr Alnemr2; Ebrahiem Eid* 3; Ola A. Harb4 | ||
| 1Obstetrics & gynacology Department, Zagaizg University, Egypt | ||
| 2Obstetric & gynacology Department, Zagazig university, Egypt | ||
| 3Obstetrics & Gynacology Department, zagazig university, Egypt | ||
| 4zagazig university Egypt | ||
| Abstract | ||
| Background: The main objective of this study is to assess and compare the diagnostic accuracy of pipelle biopsy and D&C hysteroscopic guided biopsy with the usual pathology following surgical hysterectomy. Methods: This research was conducted as a prospective cross-sectional analysis and involved seventy two participants who were divided into 3 groups. Group A offered formal dilatation and curettage (n=24), Group B offered pipelle cytology (n=24), Group C offered hysteroscopic directed biopsy (n=24). Results: ROC-curve analysis was employed to assess the performance of the formal D&C biopsy approach in identifying patients with malignancy. The method demonstrated good accuracy, with a sensitivity of 63% and specificity of 100% (p < 0.01). The hysteroscopic guided biopsy approach accurately identified individuals with cancer, demonstrating exceptional accuracy, with a sensitivity of 91% and specificity of 100% (p < 0.01). The Pipelle approach accurately recognized individuals with cancer, exhibiting exceptional accuracy, with a sensitivity of 90% and specificity of 100% (p < 0.01). Conclusion: Pipelle endometrial sample and hysteroscopy are simple and secure techniques for obtaining tissue diagnosis. | ||
| Keywords | ||
| Keywords: Pipelle; Curretage Biopsy; Hysteroscopic Biopsy; Postmenapusal bleeding.&lrm | ||
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