Diagnostic value of pipelle endometrial sampling in comparison with dilatation and curettage among patients with abnormal uterine bleeding

Background: Under normal circumstances, a woman's uterus sheds a limited amount of blood during each menstrual period (around 80 ml). Bleeding that occurs erratically or excessive menstrual bleeding is called abnormal uterine bleeding (AUB). The causes of AUB are many and varied. Initial investigations include transvaginal ultrasound and histopathologic assessment of the endometrium. Objective of this study was to evaluation of endometrial thickness with trans-vaginal ultrasound and its correlation with histopathology by dilatation and curettage in abnormal uterine bleeding. To determine the efficacy of transvaginal ultrasound in evaluating the endometrial thickness. To correlate the endometrial thickness by transvaginal ultrasound with endometrial histopathology in women with AUB.Methods: It is a retrospective observational study. All reproductive and perimenopausal age group women who underwent dilatation and curettage for abnormal uterine bleeding during the period June 2014-June 2016 was taken and analyzed and correlated with their endometrial thickness measured with Transvaginal ultrasound.Results: Around 478 patients who underwent endometrial sampling over a period of two years were analyzed. Maximum number of patients were in the fourth decade and the overweight category 36.6%. Proliferative endometrium was the most common histopathologic picture (44.76%). Detection of precancerous lesions were-5.87% and endometrial cancer was 1.05%.Conclusions: An ET of 8 mm and above gave 100% sensitivity and negative predictive value for precancerous and cancerous lesions.

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Accuracy of endometrial sampling compared to conventional dilatation and curettage in women with abnormal uterine bleeding

Archives of Gynecology and Obstetrics ◽

10.1007/s00404-014-3523-y ◽

2014 ◽

Vol 291 (5) ◽

pp. 1121-1126 ◽

Cited By ~ 16

Author(s):

Ibrahim A. Abdelazim ◽

Khaled M. Abdelrazak ◽

Assem A. M. Elbiaa ◽

Mohamed Al-Kadi ◽

Amr H. Yehia

Keyword(s):

Abnormal Uterine Bleeding ◽

Uterine Bleeding ◽

Endometrial Sampling ◽

Dilatation And Curettage

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Comparison of endometrial sampling with pipelle versus conventional dilatation and curettage in abnormal uterine bleeding.

The Professional Medical Journal ◽

10.29309/tpmj/2021.28.09.6071 ◽

2021 ◽

Vol 28 (09) ◽

pp. 1234-1238

Author(s):

Farah Ashraf ◽

Humaira Zafar ◽

Mubashra Naz ◽

Umber Fatima ◽

Anees Fatima

Keyword(s):

Abnormal Uterine Bleeding ◽

Uterine Bleeding ◽

P Value ◽

Operation Theatre ◽

Endometrial Sampling ◽

Dilatation And Curettage ◽

Group A ◽

Insignificant Difference ◽

Group B

Objective: To compare the adequacy of endometrial sampling with pipelle versus conventional dilatation and curettage in patients with abnormal uterine bleeding. Study Design: Randomized Control Trial. Settings: Department of Obstetrics and Gynecology Madina Teaching Hospital affiliated with University Medical and Dental College Faisalabad. Period: July 2019 to June 2020. Material & Methods: A total of 90 patients with abnormal uterine bleeding were included in the study. Patients in Group A underwent endometrial sampling in OPD without anesthesia using pipelle. Patients in Group B were admitted, dilatation and curettage was done in operation theatre under anesthesia, endometrial tissue sent for histopathology. Patients were called in OPD on follow up visit with histopathology report. Results: Comparison of adequacy of endometrial sampling with pipelle versus conventional dilatation and curettage in abnormal uterine bleeding shows that 84.44% (n=38) in Group A and 91.11% (n=41) in Group B have adequate sample. P value was 0.33, showing insignificant difference. Conclusion: Pipelle has acceptable adequacy for endometrial sampling as compare to dilatation and curettage. It is an outpatient procedure, no need of anesthesia and cervical dilatation. Pipelle can be safely used as an alternative to conventional dilatation and curettage.

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Pipelle endometrial sampling vs dilatation and curettage in abnormal uterine bleeding

Indian Journal of Obstetrics and Gynecology Research ◽

10.18231/j.ijogr.2020.102 ◽

2020 ◽

Vol 7 (4) ◽

pp. 470-475

Author(s):

Harpreet Kaur ◽

◽

Ritika Gupta ◽

Esha Patel ◽

Priyanka Mukherjee ◽

...

Keyword(s):

Abnormal Uterine Bleeding ◽

Uterine Bleeding ◽

Endometrial Sampling ◽

Dilatation And Curettage

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Role of pipelle versus dilatation and curettage in tissue diagnosis abnormal uterine bleeding

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20203497 ◽

2020 ◽

Vol 8 (9) ◽

pp. 3223

Author(s):

Markad Swapnil Balaram ◽

Roopa R. Shinde ◽

C. Suresh Babu ◽

Hamid Mubashar Mohamed Mubasher ◽

Ranoji Vijaysing Shinde

Keyword(s):

Histopathological Examination ◽

Tissue Sample ◽

Endometrial Thickness ◽

Abnormal Uterine Bleeding ◽

Diagnostic Value ◽

Uterine Bleeding ◽

Medical College ◽

Dilatation And Curettage ◽

Post Menopausal

Background: Menstrual irregularities and abnormal heavy menstruation account for up to 26-35% of women attending Gynecological outpatient Department. Abnormal Uterine Bleeding (AUB), it is more common at extremes of age endometrial hyperplasia occurs in 5-10% of patients with post-menopausal bleeding out of which atypical hyperplasia has 26-32 % risk of having malignancy in future. Therefore, endometrial sampling for histopathology is important in the assessment of abnormal uterine bleeding is mandatory. Our study was conductive to know the effectiveness of pipelle type devices, versus Dilatation and curettage in obtaining quality endometrial tissue for histopathological examination.Methods: The study was undertaken in Department of obstetrics and gynaecology along with department of Pathology at Rajarshi Chhatrapati Shahu Maharaj, government medical college, Kolhapur after getting approval from the Hospital Committee on Clinical Research and Ethical Committee of the institution, during the period from October 2016 to March 2017 (six months). Total number of subjects included in study is Hundred after taking into consideration of inclusion and exclusion criteria.Results: The ease of doing procedure was much easier as compared to D&C and the Tissue sample obtained for histopathological examination were as par D&C. It was concluded that histopathology report was available in 92 of the 100 pipelle samples and 93 of 100 D&C samples. It was also, observed that increased endometrial thickness was not always associated with adequate tissue diagnosis.Conclusions: Pipelle is simple, affordable, patient friendly can be easily performed with minimal training, which can be performed in Outpatient Gynaecological Department. The diagnostic value and positive predictive value of Pipelle is at par with conventional D&C. So, pipelle can be recommended for all perimenopausal patients with AUB to rule out various, premalignant and malignant conditions of the endometrium.

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