Prevalence of hysteroscopic findings and histologic diagnoses in patients with abnormal uterine bleeding
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Data
2008-06-01
Autores
Lasmar, Ricardo Bassil [UNESP]
Dias, Rogerio [UNESP]
Mussel Barrozo, Paulo Roberto [UNESP]
Pinho Oliveira, Marco Aurelio
Freire Coutinho, Evandro da Silva
da Rosa, Daniela Baltar [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Elsevier B.V.
Resumo
Objective: To describe the prevalence of hysteroscopic findings and histologic diagnoses inpatients with abnormal uterine bleeding (AUB).Design: Retrospective series of consecutive patients.Setting: Tertiary care University hospital and private office.Patient(s): Four thousand fifty-four hysteroscopies with biopsy in patients with AUB evaluated between June 1993 and December 2004.Intervention(S): Hysteroscopies were performed using 2.9-mm or 4-mm telescopes with CO2 or saline as the distension media. Biopsies were (lone with a 5-mm grasper or with a Novak's curette.Main Outcome Measure(s): Prevalence of hysteroscopic findings and histologic analysis of biopsies.Result(S): Endometrial polyp was the most frequent hysteroscopic finding, accounting for 1,374 (33.9%) cases. Normal uterine cavity and cervical canal were found in 814 (20.1%) patients. Submucous fibroids were diagnosed in 302 (7.5%) women. Normal endometrium was the most frequent histologic diagnosis, accounting for 1,888 (46.6%) cases. Endometrial polyp was found in 1, 115 (27.5%) patients. Endometrial hyperplasia was diagnosed in 613 (15.1%) and endometrial cancer in 105 (2.6%) women.Conclusion(s): Endometrial polyps are the most frequent hysteroscopic findings in patients with AUB, whereas normal endometrium is the most frequent histologic diagnosis.
Descrição
Palavras-chave
abnormal uterine bleeding, hysteroscopy, endometrial polyps, histopathology, prevalence
Como citar
Fertility and Sterility. New York: Elsevier B.V., v. 89, n. 6, p. 1803-1807, 2008.