Office Hysteroscopy and Pipelle Endometrial Biopsy versus Diltation and Curettage in Diagnosis of Endometrial pathology in women with perimenopausal bleeding.
Abd-Elmageed, A., abdo, A., el beheidy, T., Refaie, A. (2020). Office Hysteroscopy and Pipelle Endometrial Biopsy versus Diltation and Curettage in Diagnosis of Endometrial pathology in women with perimenopausal bleeding.. EKB Journal Management System, 26(6), 981-989. doi: 10.21608/zumj.2019.15285.1371
Ahmed Abd-Elwahed Abd-Elmageed; ahmed abdo; tarek mohamed el beheidy; ashraf Nasr Refaie. "Office Hysteroscopy and Pipelle Endometrial Biopsy versus Diltation and Curettage in Diagnosis of Endometrial pathology in women with perimenopausal bleeding.". EKB Journal Management System, 26, 6, 2020, 981-989. doi: 10.21608/zumj.2019.15285.1371
Abd-Elmageed, A., abdo, A., el beheidy, T., Refaie, A. (2020). 'Office Hysteroscopy and Pipelle Endometrial Biopsy versus Diltation and Curettage in Diagnosis of Endometrial pathology in women with perimenopausal bleeding.', EKB Journal Management System, 26(6), pp. 981-989. doi: 10.21608/zumj.2019.15285.1371
Abd-Elmageed, A., abdo, A., el beheidy, T., Refaie, A. Office Hysteroscopy and Pipelle Endometrial Biopsy versus Diltation and Curettage in Diagnosis of Endometrial pathology in women with perimenopausal bleeding.. EKB Journal Management System, 2020; 26(6): 981-989. doi: 10.21608/zumj.2019.15285.1371

Office Hysteroscopy and Pipelle Endometrial Biopsy versus Diltation and Curettage in Diagnosis of Endometrial pathology in women with perimenopausal bleeding.

Zagazig University Medical Journal
Article 11, Volume 26, Issue 6, November 2020, Page 981-989  XML PDF (557.4 K)
Document Type: Original Article
DOI: 10.21608/zumj.2019.15285.1371
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Authors
Ahmed Abd-Elwahed Abd-Elmageed email orcid 1; ahmed abdo2; tarek mohamed el beheidy3; ashraf Nasr Refaie4
1obstetrics and gynacology department,faculty of medicine,zagazig univercity,Sharkia,Egypt
2Zagazig university
3obstetric and gynecology department zagazig university hospitals
4zagazig university
Abstract
Background: Abnormal uterine bleeding(AUB) is a common gynecologic complaint. Some authors recommend endometrial sample in diagnosing AUB by pipelle method and hysteroscopy. However, this need more investigations to be proven.
The aim of the study: Was to compare between the histopathological findings of Pipelle endometrial biopsy, office hysteroscopy and dilatation and curettage(D&C) (the gold standard).
Patients & methods: This cross-sectional study was carried out in outpatient clinic of Obstetrics & Gynecology Department at Zagazig University Hospitals, Zagazig, Sharkia, Egypt, from July 2018 till March 2019. Fourty three cases were included. All women were present with perimenopausal bleeding. Full history was taken, office hysteroscopy was done, pipelle endometrial aspiration after 2 hours , D&C within 48 hours then tissue samples were placed into bottles containing formalin 10% and sent for histopathological examination and finally the results were compared.
Results: Histopathological examination of endometrial samplings by pipelle method revealed endometrial hyperplasia in 10 cases , hyperplasia with atypia in 4 cases, polyp in 0 cases, endometritis in 3 cases.Also, hysteroscopy revealed endometrial hyperplasia in 8 cases , hyperplasia with atypia in 2 cases, polyp in 5 cases, endometritis in 2 cases.These were correlated with histopathological findings of conventional D and C sampling method which showed that endometrial sampling by pipelle method and hysteroscopy had a high sensitivity and spesificity in diagnosing abnormal endometrium.
Conclusion: Pipelle endometrial sampling and hysteroscopy are an easy and safe methods of tissue diagnosis which can be done as an out-patient procedures and without anaesthesia.
Keywords
Pipelle endometrial sampling; Hysteroscopy; D&C; AUB
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