Histopathological analysis of endometrial biopsies in dysfunctional uterine bleeding
<p><strong>Background:</strong> It is estimated that 9-30% of women of reproductive age suffer from menorrhagia. Because most cases are associated with anovulatory menstrual cycles, adolescent and perimenopausal women are particularly vulnerable to this particular condition. The ai...
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| Format: | Article |
| Language: | English |
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Association of Clinical Pathologists of Nepal
2016-03-01
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| Series: | Journal of Pathology of Nepal |
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| Online Access: | http://www.nepjol.info/index.php/JPN/article/view/15670 |
| _version_ | 1828769072354951168 |
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| author | N Nepal PK Chaudhary N Mainali |
| author_facet | N Nepal PK Chaudhary N Mainali |
| author_sort | N Nepal |
| collection | DOAJ |
| description | <p><strong>Background:</strong> It is estimated that 9-30% of women of reproductive age suffer from menorrhagia. Because most cases are associated with anovulatory menstrual cycles, adolescent and perimenopausal women are particularly vulnerable to this particular condition. The aim of this study was to evaluate the histopathological pattern of endometrial biopsy from patients presenting with dysfunctional uterine bleeding.</p><p><strong>Materials and Methods: </strong>This is a cross-sectional observational study done in Nobel Medical College, Biratnagar, Nepal for a period of three years from June 2012 to June 2015. All the patients presenting with dysfunctional uterine bleeding and who underwent endometrial biopsy were included in this study. Distribution of various histopathological patterns was observed in the different age groups.</p><p><strong>Results: </strong>A total of 300 cases were included in my study. The commonest pattern in these patients was proliferative endometrium 61 (%). The commonest pathology was simple cystic hyperplasia (13.3%). Other patterns identified were secretory endometrium, chronic endometritis and pill endometrium. Malignant lesion comprised of 8 (2.7%) of patients and the majority was in >50 years followed by in between 41-50 years of age. Atrophic endometrium was the commonest finding in post menopausal bleeding, comprising of 11 cases (3.6%), followed by endometrial carcinoma of 8 cases (2.7%).</p><p><strong>Conclusion: </strong>As observed from the study, there is an age specific association of endometrial bleeding, with highest incidence in perimenopausal age group. Hence, dilatation and curettage is helpful for diagnosis, to assess therapeutic response and to know the pathological incidence of organic lesions in cases of dysfunctional uterine bleeding. </p> |
| first_indexed | 2024-12-11T13:41:59Z |
| format | Article |
| id | doaj.art-e264e2178e20400fabeff52e0932c306 |
| institution | Directory Open Access Journal |
| issn | 2091-0797 2091-0908 |
| language | English |
| last_indexed | 2024-12-11T13:41:59Z |
| publishDate | 2016-03-01 |
| publisher | Association of Clinical Pathologists of Nepal |
| record_format | Article |
| series | Journal of Pathology of Nepal |
| spelling | doaj.art-e264e2178e20400fabeff52e0932c3062022-12-22T01:04:44ZengAssociation of Clinical Pathologists of NepalJournal of Pathology of Nepal2091-07972091-09082016-03-0161191091310.3126/jpn.v6i11.1567012157Histopathological analysis of endometrial biopsies in dysfunctional uterine bleedingN Nepal0PK ChaudharyN MainaliNobel Medical College Teaching Hospital, Biratnagar, Nepal<p><strong>Background:</strong> It is estimated that 9-30% of women of reproductive age suffer from menorrhagia. Because most cases are associated with anovulatory menstrual cycles, adolescent and perimenopausal women are particularly vulnerable to this particular condition. The aim of this study was to evaluate the histopathological pattern of endometrial biopsy from patients presenting with dysfunctional uterine bleeding.</p><p><strong>Materials and Methods: </strong>This is a cross-sectional observational study done in Nobel Medical College, Biratnagar, Nepal for a period of three years from June 2012 to June 2015. All the patients presenting with dysfunctional uterine bleeding and who underwent endometrial biopsy were included in this study. Distribution of various histopathological patterns was observed in the different age groups.</p><p><strong>Results: </strong>A total of 300 cases were included in my study. The commonest pattern in these patients was proliferative endometrium 61 (%). The commonest pathology was simple cystic hyperplasia (13.3%). Other patterns identified were secretory endometrium, chronic endometritis and pill endometrium. Malignant lesion comprised of 8 (2.7%) of patients and the majority was in >50 years followed by in between 41-50 years of age. Atrophic endometrium was the commonest finding in post menopausal bleeding, comprising of 11 cases (3.6%), followed by endometrial carcinoma of 8 cases (2.7%).</p><p><strong>Conclusion: </strong>As observed from the study, there is an age specific association of endometrial bleeding, with highest incidence in perimenopausal age group. Hence, dilatation and curettage is helpful for diagnosis, to assess therapeutic response and to know the pathological incidence of organic lesions in cases of dysfunctional uterine bleeding. </p>http://www.nepjol.info/index.php/JPN/article/view/15670Dilatation and CurettageDysfunctional uterine bleeding: Histopathology |
| spellingShingle | N Nepal PK Chaudhary N Mainali Histopathological analysis of endometrial biopsies in dysfunctional uterine bleeding Journal of Pathology of Nepal Dilatation and Curettage Dysfunctional uterine bleeding: Histopathology |
| title | Histopathological analysis of endometrial biopsies in dysfunctional uterine bleeding |
| title_full | Histopathological analysis of endometrial biopsies in dysfunctional uterine bleeding |
| title_fullStr | Histopathological analysis of endometrial biopsies in dysfunctional uterine bleeding |
| title_full_unstemmed | Histopathological analysis of endometrial biopsies in dysfunctional uterine bleeding |
| title_short | Histopathological analysis of endometrial biopsies in dysfunctional uterine bleeding |
| title_sort | histopathological analysis of endometrial biopsies in dysfunctional uterine bleeding |
| topic | Dilatation and Curettage Dysfunctional uterine bleeding: Histopathology |
| url | http://www.nepjol.info/index.php/JPN/article/view/15670 |
| work_keys_str_mv | AT nnepal histopathologicalanalysisofendometrialbiopsiesindysfunctionaluterinebleeding AT pkchaudhary histopathologicalanalysisofendometrialbiopsiesindysfunctionaluterinebleeding AT nmainali histopathologicalanalysisofendometrialbiopsiesindysfunctionaluterinebleeding |