Diagnostic Value of Pipelle, Curretage Biopsy and Hysteroscopic Biopsy in Cases of Postmenopausal Bleeding | ||||
| Zagazig University Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 26 January 2024 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2024.264675.3129 | ||||
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| Authors | ||||
Amr Abo El-fath1; Amr Alnemr2; Ebrahiem Eid  3; Ola A. Harb4
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| 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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