Preoperative and postoperative agreement of histopathological findings in cases of endometrial hyperplasia.
Article
Dans Anglais
| IMSEAR
| ID: sea-37640
ABSTRACT
OBJECTIVE:
To determine agreement of preoperative and postoperative histopathology of endometrial hyperplasia (EH). MATERIALS ANDMETHODS:
Histopathology of specimens obtained by curettage and hysterectomy within 1 year was retrospectively compared by a skilled gynecological pathologist. Patients who received hormone therapy were excluded.RESULTS:
Of 79 women with a preoperative diagnosis of EH, only 32 were diagnosed as EH from hysterectomy specimens. There was no endometrial cancer. The agreement between preoperative and postoperative histology did not achieve statistical significance (Kappa 0.011). Postoperative histopathology was more severe than preoperative diagnosis in 5 (6.3%) patients, including 3 preoperative diagnoses of simple hyperplasia without atypia, 1 simple hyperplasia with atypia, and 1 complex hyperplasia without atypia.CONCLUSIONS:
For EH diagnosed by curettage, we can be sure of the diagnosis. However, 6.3% had more severe histology from hysterectomy specimens. Thus, repeated curettage or other investigations should be reconsidered in women with recurrent bleeding.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Soins postopératoires
/
Sujet âgé
/
Soins préopératoires
/
Femelle
/
Humains
/
Études rétrospectives
/
Résultat thérapeutique
/
Tumeurs de l'endomètre
/
Adulte
/
Curetage
Type d'étude:
Etude diagnostique
/
Étude observationnelle
langue:
Anglais
Année:
2008
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS