DIAGNOSTIC ADEQUACY AND HISTOLOGICAL OUTCOME OF PIPELLE ENDOMETRIAL BIOPSIES

Objective: To assess diagnostic adequacy and histological outcome in pipelle endometrial biopsies of the patients presenting with abnormal uterine bleeding. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Histopathology department, Army Medical College Rawalpindi,...

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Autores principales:	Tariq Sarfraz, Hareem Tahir, Larayeb Wazir, Humaira Tariq, Saleem Ahmed Khan, Syed Raza Jaffar
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	abnormal uterine bleeding endometrial pathology pipelle endometrial biopsy sample adequacy Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/c77f8bca26ce471faef818067eb88469
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spelling	oai:doaj.org-article:c77f8bca26ce471faef818067eb884692021-12-02T18:44:46ZDIAGNOSTIC ADEQUACY AND HISTOLOGICAL OUTCOME OF PIPELLE ENDOMETRIAL BIOPSIES0030-96482411-8842https://doaj.org/article/c77f8bca26ce471faef818067eb884692021-02-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6355https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To assess diagnostic adequacy and histological outcome in pipelle endometrial biopsies of the patients presenting with abnormal uterine bleeding. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Histopathology department, Army Medical College Rawalpindi, from Jan to Dec 2018. Methodology: A total of 220 cases, which presented with abnormal uterine bleeding and underwent endometrial pipelle biopsy were included in the study. The biopsies were evaluated in terms of material adequacy and histopathological outcome. Cases with bleeding due to complications of pregnancy, cervical pathologies and lower genital tract infections were excluded. Statistical analysis was done using SPSS version 22. Results: Out of 220 pipelle biopsies, 65 (29.54%) were inadequate for assessment while 155 (70.45%) were adequate to make a definitive diagnosis on histological examination. Among the diagnostic samples, chronic endometritis was the most common pattern observed, seen in 70 cases (45.16%). Other histological patterns included proliferative endometrium (29.03%), secretory endometrium (9.03%), exogenous hormone effect (7.10%), endometrial hyperplasia (3.87%), atrophic endometrium (4.51%) and endometrial carcinoma (1.29%). Conclusion: Pipelle biopsy is not as successful in our setup as it is in the developed countries. This technique can be used as an initial procedure in patients with abnormal uterine bleeding, however, in patients with high risk of malignancy where pipelle biopsy is inadequate, dilation and curettage is recommended instead of repeating pipelle biopsy to get adequate material for a definite diagnosis.Tariq SarfrazHareem TahirLarayeb WazirHumaira TariqSaleem Ahmed KhanSyed Raza JaffarArmy Medical College Rawalpindiarticleabnormal uterine bleedingendometrial pathologypipelle endometrial biopsysample adequacyMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 1, Pp 57-61 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	abnormal uterine bleeding endometrial pathology pipelle endometrial biopsy sample adequacy Medicine R Medicine (General) R5-920
spellingShingle	abnormal uterine bleeding endometrial pathology pipelle endometrial biopsy sample adequacy Medicine R Medicine (General) R5-920 Tariq Sarfraz Hareem Tahir Larayeb Wazir Humaira Tariq Saleem Ahmed Khan Syed Raza Jaffar DIAGNOSTIC ADEQUACY AND HISTOLOGICAL OUTCOME OF PIPELLE ENDOMETRIAL BIOPSIES
description	Objective: To assess diagnostic adequacy and histological outcome in pipelle endometrial biopsies of the patients presenting with abnormal uterine bleeding. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Histopathology department, Army Medical College Rawalpindi, from Jan to Dec 2018. Methodology: A total of 220 cases, which presented with abnormal uterine bleeding and underwent endometrial pipelle biopsy were included in the study. The biopsies were evaluated in terms of material adequacy and histopathological outcome. Cases with bleeding due to complications of pregnancy, cervical pathologies and lower genital tract infections were excluded. Statistical analysis was done using SPSS version 22. Results: Out of 220 pipelle biopsies, 65 (29.54%) were inadequate for assessment while 155 (70.45%) were adequate to make a definitive diagnosis on histological examination. Among the diagnostic samples, chronic endometritis was the most common pattern observed, seen in 70 cases (45.16%). Other histological patterns included proliferative endometrium (29.03%), secretory endometrium (9.03%), exogenous hormone effect (7.10%), endometrial hyperplasia (3.87%), atrophic endometrium (4.51%) and endometrial carcinoma (1.29%). Conclusion: Pipelle biopsy is not as successful in our setup as it is in the developed countries. This technique can be used as an initial procedure in patients with abnormal uterine bleeding, however, in patients with high risk of malignancy where pipelle biopsy is inadequate, dilation and curettage is recommended instead of repeating pipelle biopsy to get adequate material for a definite diagnosis.
format	article
author	Tariq Sarfraz Hareem Tahir Larayeb Wazir Humaira Tariq Saleem Ahmed Khan Syed Raza Jaffar
author_facet	Tariq Sarfraz Hareem Tahir Larayeb Wazir Humaira Tariq Saleem Ahmed Khan Syed Raza Jaffar
author_sort	Tariq Sarfraz
title	DIAGNOSTIC ADEQUACY AND HISTOLOGICAL OUTCOME OF PIPELLE ENDOMETRIAL BIOPSIES
title_short	DIAGNOSTIC ADEQUACY AND HISTOLOGICAL OUTCOME OF PIPELLE ENDOMETRIAL BIOPSIES
title_full	DIAGNOSTIC ADEQUACY AND HISTOLOGICAL OUTCOME OF PIPELLE ENDOMETRIAL BIOPSIES
title_fullStr	DIAGNOSTIC ADEQUACY AND HISTOLOGICAL OUTCOME OF PIPELLE ENDOMETRIAL BIOPSIES
title_full_unstemmed	DIAGNOSTIC ADEQUACY AND HISTOLOGICAL OUTCOME OF PIPELLE ENDOMETRIAL BIOPSIES
title_sort	diagnostic adequacy and histological outcome of pipelle endometrial biopsies
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doaj.org/article/c77f8bca26ce471faef818067eb88469
work_keys_str_mv	AT tariqsarfraz diagnosticadequacyandhistologicaloutcomeofpipelleendometrialbiopsies AT hareemtahir diagnosticadequacyandhistologicaloutcomeofpipelleendometrialbiopsies AT larayebwazir diagnosticadequacyandhistologicaloutcomeofpipelleendometrialbiopsies AT humairatariq diagnosticadequacyandhistologicaloutcomeofpipelleendometrialbiopsies AT saleemahmedkhan diagnosticadequacyandhistologicaloutcomeofpipelleendometrialbiopsies AT syedrazajaffar diagnosticadequacyandhistologicaloutcomeofpipelleendometrialbiopsies
_version_	1718377705524690944

DIAGNOSTIC ADEQUACY AND HISTOLOGICAL OUTCOME OF PIPELLE ENDOMETRIAL BIOPSIES

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