EVALUATION OF ENDOMETRIAL BIOPSIES FOR CHRONIC ENDOMETRITIS BY USING SYNDECAN-1 (CD138) IN ABNORMAL UTERINE BLEEDING
Objective: To determine the utility of Syndecan–1 (CD138) in the diagnosis of Chronic endometritis in patients with Abnormal Uterine Bleeding. Study Design: Cross-sectional study. Place and Duration: The study was carried out in department of Pathology, Army Medical College, Rawalpindi in coll...
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Army Medical College Rawalpindi
2019
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oai:doaj.org-article:00cdb95dd2904f3b97fe2e7fef31c1382021-11-08T05:05:14ZEVALUATION OF ENDOMETRIAL BIOPSIES FOR CHRONIC ENDOMETRITIS BY USING SYNDECAN-1 (CD138) IN ABNORMAL UTERINE BLEEDING0030-96482411-8842https://doaj.org/article/00cdb95dd2904f3b97fe2e7fef31c1382019-12-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3662/2483https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the utility of Syndecan–1 (CD138) in the diagnosis of Chronic endometritis in patients with Abnormal Uterine Bleeding. Study Design: Cross-sectional study. Place and Duration: The study was carried out in department of Pathology, Army Medical College, Rawalpindi in collaboration with the department of Obstetrics & Gynecology, Pak Emirates Military Hospital (PEMH), Rawalpindi. The study duration was from Jan 2018 to Oct 2018. Methodology: A total of one hundred endometrial biopsies of patients with clinical or histological suspicion of chronic endometritis were taken. Hematoxylin and Eosin (H & E) stain was performed on all the biopsies and a diagnosis was made. Later on, Syndecan-1 was applied on all the biopsies and an immunohistochemical diagnosis was made. Both the diagnoses were then compared and analyzed. Results: Mean age of the study participants was 43.67 ± 8.95 years, with a range of 23-70 years. Out of 100 biopsies, forty-five cases (45%) were diagnosed as Chronic endometritis on H & E, while fifty-five cases (55%) were not showing Chronic endometritis and were diagnosed as disordered proliferative endometrium (DPE). On application of Syndecan-1 (CD 138), it was seen that these 19 out of 45 cases, diagnosed as Chronic endometritis on H & E were actually over-diagnosed and didn’t show plasma cells. Out of 55 cases which were negative for Chronic endometritis, 15 cases were underdiagnosed as they showed plasma cells with immunohistochemistry application (Syndecan-1). Conclusion: In cases suspected as Chronic endometritis, no plasma cells were clearly visible on H & E staining, Sydnecan-1 helps identifying plasma cells easily.Aaminah HanifTariq SarfrazHumaira TariqSaleem Ahmed KhanSyed Raza JaffarFarhan AkhtarArmy Medical College Rawalpindiarticleabnormal uterine bleedingchronic endometritisplasma cellMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 6, Pp 1341-1345 (2019) |
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abnormal uterine bleeding chronic endometritis plasma cell Medicine R Medicine (General) R5-920 |
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abnormal uterine bleeding chronic endometritis plasma cell Medicine R Medicine (General) R5-920 Aaminah Hanif Tariq Sarfraz Humaira Tariq Saleem Ahmed Khan Syed Raza Jaffar Farhan Akhtar EVALUATION OF ENDOMETRIAL BIOPSIES FOR CHRONIC ENDOMETRITIS BY USING SYNDECAN-1 (CD138) IN ABNORMAL UTERINE BLEEDING |
description |
Objective: To determine the utility of Syndecan–1 (CD138) in the diagnosis of Chronic endometritis in patients with Abnormal Uterine Bleeding.
Study Design: Cross-sectional study.
Place and Duration: The study was carried out in department of Pathology, Army Medical College, Rawalpindi in collaboration with the department of Obstetrics & Gynecology, Pak Emirates Military Hospital (PEMH), Rawalpindi. The study duration was from Jan 2018 to Oct 2018.
Methodology: A total of one hundred endometrial biopsies of patients with clinical or histological suspicion of chronic endometritis were taken. Hematoxylin and Eosin (H & E) stain was performed on all the biopsies and a diagnosis was made. Later on, Syndecan-1 was applied on all the biopsies and an immunohistochemical diagnosis was made. Both the diagnoses were then compared and analyzed.
Results: Mean age of the study participants was 43.67 ± 8.95 years, with a range of 23-70 years. Out of 100 biopsies, forty-five cases (45%) were diagnosed as Chronic endometritis on H & E, while fifty-five cases (55%) were not showing Chronic endometritis and were diagnosed as disordered proliferative endometrium (DPE). On application of Syndecan-1 (CD 138), it was seen that these 19 out of 45 cases, diagnosed as Chronic endometritis on H & E were actually over-diagnosed and didn’t show plasma cells. Out of 55 cases which were negative for Chronic endometritis, 15 cases were underdiagnosed as they showed plasma cells with immunohistochemistry application (Syndecan-1).
Conclusion: In cases suspected as Chronic endometritis, no plasma cells were clearly visible on H & E staining, Sydnecan-1 helps identifying plasma cells easily. |
format |
article |
author |
Aaminah Hanif Tariq Sarfraz Humaira Tariq Saleem Ahmed Khan Syed Raza Jaffar Farhan Akhtar |
author_facet |
Aaminah Hanif Tariq Sarfraz Humaira Tariq Saleem Ahmed Khan Syed Raza Jaffar Farhan Akhtar |
author_sort |
Aaminah Hanif |
title |
EVALUATION OF ENDOMETRIAL BIOPSIES FOR CHRONIC ENDOMETRITIS BY USING SYNDECAN-1 (CD138) IN ABNORMAL UTERINE BLEEDING |
title_short |
EVALUATION OF ENDOMETRIAL BIOPSIES FOR CHRONIC ENDOMETRITIS BY USING SYNDECAN-1 (CD138) IN ABNORMAL UTERINE BLEEDING |
title_full |
EVALUATION OF ENDOMETRIAL BIOPSIES FOR CHRONIC ENDOMETRITIS BY USING SYNDECAN-1 (CD138) IN ABNORMAL UTERINE BLEEDING |
title_fullStr |
EVALUATION OF ENDOMETRIAL BIOPSIES FOR CHRONIC ENDOMETRITIS BY USING SYNDECAN-1 (CD138) IN ABNORMAL UTERINE BLEEDING |
title_full_unstemmed |
EVALUATION OF ENDOMETRIAL BIOPSIES FOR CHRONIC ENDOMETRITIS BY USING SYNDECAN-1 (CD138) IN ABNORMAL UTERINE BLEEDING |
title_sort |
evaluation of endometrial biopsies for chronic endometritis by using syndecan-1 (cd138) in abnormal uterine bleeding |
publisher |
Army Medical College Rawalpindi |
publishDate |
2019 |
url |
https://doaj.org/article/00cdb95dd2904f3b97fe2e7fef31c138 |
work_keys_str_mv |
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