Cytological assessment of endometrial washings obtained with an insemination cannula and its histological correlation

<b>Background: </b> Endometrial cytopathology is a powerful tool for the detection of a wide variety of benign atypias, inflammatory changes, and infectious organisms. It is also helpful for the cytohormonal evaluation of patients and the detection of endometrial malignancies. <b>...

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Main Authors: Malik Reeni, Agarwal Renu, Tandon Puneet
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2008-01-01
Series:Journal of Cytology
Subjects:
Online Access:http://www.jcytol.org/article.asp?issn=0970-9371;year=2008;volume=25;issue=4;spage=128;epage=132;aulast=Malik
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author Malik Reeni
Agarwal Renu
Tandon Puneet
author_facet Malik Reeni
Agarwal Renu
Tandon Puneet
author_sort Malik Reeni
collection DOAJ
description <b>Background: </b> Endometrial cytopathology is a powerful tool for the detection of a wide variety of benign atypias, inflammatory changes, and infectious organisms. It is also helpful for the cytohormonal evaluation of patients and the detection of endometrial malignancies. <b> Aims:</b> The present study was carried out to assess the sensitivity and specificity of endometrial cytology performed by using an insemination cannula. <b> Materials and Methods: </b> Endometrial aspiration using an insemination cannula was done in 60 cases who presented with dysuterine bleed, infertility, or postmenopausal bleed. The cytological evaluation of endometrial smears was correlated with histopathological findings with reference to cyclic endometrium, atypical hyperplasia, and endometrial malignancies. <b> Results: </b> There were 35 patients in the reproductive and 25 in the menopausal age groups. The sample was inadequate in four cases but there was an overall 100&#x0025; correlation between cytological and histological findings of cyclic endometrium, atypical hyperplasia, and endometrial malignancy. The sensitivity and specificity of endometrial aspiration was 83.3 and 95.4&#x0025; respectively, with two false negative and false positive cases.<b> Conclusions: </b> Endometrial aspiration cytology was found to be a safe outpatient procedure in the diagnosis of normal and abnormal endometrium for patients of all ages.The present study emphasizes the need for endometrial screening in postmenopausal patients to enable the detection of endometrial malignancies at an early stage.
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spelling doaj.art-0f9bbd9a2fdf44afb2bccdf08f8652152022-12-22T03:45:53ZengWolters Kluwer Medknow PublicationsJournal of Cytology0970-93712008-01-01254128132Cytological assessment of endometrial washings obtained with an insemination cannula and its histological correlationMalik ReeniAgarwal RenuTandon Puneet<b>Background: </b> Endometrial cytopathology is a powerful tool for the detection of a wide variety of benign atypias, inflammatory changes, and infectious organisms. It is also helpful for the cytohormonal evaluation of patients and the detection of endometrial malignancies. <b> Aims:</b> The present study was carried out to assess the sensitivity and specificity of endometrial cytology performed by using an insemination cannula. <b> Materials and Methods: </b> Endometrial aspiration using an insemination cannula was done in 60 cases who presented with dysuterine bleed, infertility, or postmenopausal bleed. The cytological evaluation of endometrial smears was correlated with histopathological findings with reference to cyclic endometrium, atypical hyperplasia, and endometrial malignancies. <b> Results: </b> There were 35 patients in the reproductive and 25 in the menopausal age groups. The sample was inadequate in four cases but there was an overall 100&#x0025; correlation between cytological and histological findings of cyclic endometrium, atypical hyperplasia, and endometrial malignancy. The sensitivity and specificity of endometrial aspiration was 83.3 and 95.4&#x0025; respectively, with two false negative and false positive cases.<b> Conclusions: </b> Endometrial aspiration cytology was found to be a safe outpatient procedure in the diagnosis of normal and abnormal endometrium for patients of all ages.The present study emphasizes the need for endometrial screening in postmenopausal patients to enable the detection of endometrial malignancies at an early stage.http://www.jcytol.org/article.asp?issn=0970-9371;year=2008;volume=25;issue=4;spage=128;epage=132;aulast=MalikEndometrial aspiration cytology; endometrial carcinoma; endometrial cytology; insemination cannula.
spellingShingle Malik Reeni
Agarwal Renu
Tandon Puneet
Cytological assessment of endometrial washings obtained with an insemination cannula and its histological correlation
Journal of Cytology
Endometrial aspiration cytology; endometrial carcinoma; endometrial cytology; insemination cannula.
title Cytological assessment of endometrial washings obtained with an insemination cannula and its histological correlation
title_full Cytological assessment of endometrial washings obtained with an insemination cannula and its histological correlation
title_fullStr Cytological assessment of endometrial washings obtained with an insemination cannula and its histological correlation
title_full_unstemmed Cytological assessment of endometrial washings obtained with an insemination cannula and its histological correlation
title_short Cytological assessment of endometrial washings obtained with an insemination cannula and its histological correlation
title_sort cytological assessment of endometrial washings obtained with an insemination cannula and its histological correlation
topic Endometrial aspiration cytology; endometrial carcinoma; endometrial cytology; insemination cannula.
url http://www.jcytol.org/article.asp?issn=0970-9371;year=2008;volume=25;issue=4;spage=128;epage=132;aulast=Malik
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AT agarwalrenu cytologicalassessmentofendometrialwashingsobtainedwithaninseminationcannulaanditshistologicalcorrelation
AT tandonpuneet cytologicalassessmentofendometrialwashingsobtainedwithaninseminationcannulaanditshistologicalcorrelation