Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc
Journal website http://www.jcgo.org

Original Article

Volume 3, Number 4, December 2014, pages 133-137


A Comparative Evaluation of the Three Different Methods of Endometrial Sampling in the Diagnosis of Perimenopausal Bleeding

Tables

Table 1. Age Distribution of Patients
 
Age in yearsNo. of patients (n)%
40 - 444646.0
45 - 493434.0
50 - 541111.0
55 - 5966.0
60 - 6433.0
Total100100.0

 

Table 2. Endometrial Aspiration Cytology Report
 
Endometrial cytology reportNo. of patients (n)%
Benign cytomorphology (BCM)4242
Endometrial hyperplasia (EH)1919
Disordered proliferative endometrium (DPE)11
Inflammatory smear (IS)11
Inadequate (IA)3737
Total100100.0

 

Table 3. Endometrial Histopathology Report by Pipelle and Dilatation and Curettage
 
Endometrial histopathology reportPipelle biopsy no. (%)Dilatation and curettage no. (%)
Simple hyperplasia without atypia (SHWOA)28 (28%)28 (28%)
Secretary endometrium (SE)19 (19%)19 (19%)
Proliferative endometrium (PE)15 (15%)16 (16%)
Complex hyperplasia without atypia (CHWOA)9 (9%)9 (9%)
Disordered proliferative endometrium (DPE)9 (9%)8 (8%)
Simple hyperplasia with atypia (SHWA)5 (5%)4 (4%)
Irregular endometrium (IRE)5 (5%)5 (5%)
Complex hyperplasia with atypia (CHWA)3 (3%)3 (3%)
Inadequate (IA)4 (4%)4 (4%)
Carcinoma (CA)2 (25)2 (2%)
Inactive endometrium (IE)1 (1%)2 (2%)
Total100 (100%)100 (100%)

 

Table 4. Comparison of Adequacy of Endometrial Sampling by Different Methods
 
Endometrial samplingAdequate (n = 100)Inadequate (n = 100)
Endometrial aspiration cytology63 (63.0%)37 (37.0%)
Pipelle biopsy96 (96.0%)4 (4.0%)
Dilatation and curettage96 (96.0%)4 (4.0%)

 

Table 5. Correlation of Detection of Endometrial Pathologies by Three Different Methods
 
Endometrial pathologyMethods of endometrial sampling
Aspiration cytology (%)Pipelle biopsy (%)Dilatation and curettage (%)
Benign pathology444950
Premalignant pathology194544
Carcinoma022
Inadequate3744