Endometrial dating pathology
Physicians who perform other gynecologic procedures find that endometrial biopsy is a natural addition to their practice.
- SMALL FRAGMENTS OF DETACHED BENIGN SQUAMOUS EPITHELIUM.
COMMENT: A re-biopsy should be considered within the clinical context.
Office endometrial suction catheters are easy to use, and several have been reported to have diagnostic accuracy that is equal or superior to the dilatation and curettage (D&C) procedure.
Suction is generated by withdrawing an internal piston from within the catheter, and the tissue sample is obtained by twirling the catheter while moving it up and down within the uterine cavity.
ENDOMETRIUM, BIOPSY: - VERY WEAKLY PROLIFERATIVE ENDOMETRIAL GLANDS WITH NEUTROPHILS AND APOPTOSIS. - NEGATIVE FOR HYPERPLASIA AND NEGATIVE FOR MALIGNANCY.
ENDOMETRIUM, ASPIRATION: - CONSISTENT WITH MENSTRUAL ENDOMETRIUM (FRAGMENTED ENDOMETRIUM WITH PSEUDOSTRATIFIED GLANDS WITH APOPTOTIC CELLS, ABUNDANT NEUTROPHILS, CONDENSED ENDOMETRIAL STROMA AND BLOOD).
Endometrial biopsy is useful in the work-up of abnormal uterine bleeding, cancer screening, endometrial dating and infertility evaluation.
Contraindications to the procedure include pregnancy, acute pelvic inflammatory disease, and acute cervical or vaginal infections.
Postoperative infection is rare but may be further prevented through the use of prophylactic antibiotic therapy.
Intraoperative and postoperative cramping are frequent side effects.
Mettlin C, Jones G, Averette H, Gusberg SB, Murphy GP. Copyright © 2001 by the American Academy of Family Physicians. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.