Diagnostic Efficacy of Endometrial Aspiration Cytology in Abnormal Uterine Bleeding - A Cross Sectional Study at a Tertiary Care Hospital

Background: Application of cytology in evaluation of endometrial lesions is emerging and is a valuable diagnostic tool which includes endometrial aspiration cytology and imprint cytology. This study was conducted to analyze the morphological patterns of endometrium in abnormal uterine bleeding by en...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Amita Kumari, Amita K
Formato:	article
Lenguaje:	EN
Publicado:	Light House Polyclinic Mangalore 2021
Materias:	endometrial aspiration cytology cyclic endometrium adenocarcinoma histopathology. Medicine R
Acceso en línea:	https://doaj.org/article/cd5b00f755f743c3b95f95be5ea793e1
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:cd5b00f755f743c3b95f95be5ea793e1
record_format	dspace
spelling	oai:doaj.org-article:cd5b00f755f743c3b95f95be5ea793e12021-11-12T08:53:35ZDiagnostic Efficacy of Endometrial Aspiration Cytology in Abnormal Uterine Bleeding - A Cross Sectional Study at a Tertiary Care Hospital0972-5997https://doaj.org/article/cd5b00f755f743c3b95f95be5ea793e12021-10-01T00:00:00Zhttps://www.ojhas.org/issue79/2021-3-13.htmlhttps://doaj.org/toc/0972-5997Background: Application of cytology in evaluation of endometrial lesions is emerging and is a valuable diagnostic tool which includes endometrial aspiration cytology and imprint cytology. This study was conducted to analyze the morphological patterns of endometrium in abnormal uterine bleeding by endometrium aspiration cytology and to compare its diagnostic efficacy of with histopathology. Material and method: This was a prospective analytical study which included 127 cases with abnormal uterine bleeding. Aspiration was done using nasogastric tube. This was followed by dilatation and curettage, material obtained and serial imprints were taken. The endometrial biopsy was then sent for histopathological examination. The aspirates and biopsy were stained appropriately. Cytomorphology was studied and subsequently correlated with histopathological features. Results: Mean age was 41.57 Â± 8.42 years and menorrhagia was the most common pattern of bleeding. The most common endometrial pattern observed was of cyclic endometrium by both the techniques. The sensitivity, specificity, positive predictive value and negative predictive value of endometrial aspiration cytology in diagnosing malignancy was 66.67%, 100%, 100% and 99.07% respectively. Conclusion: Endometrial cytology is a simple, rapid, safe and cost-effective tool in evaluating abnormal uterine bleeding in identification of specific pathology. Pathologist must be aware of the cytomorphology and potential pitfalls especially in distinction of atypical hyperplasia and grade 1 adenocarcinomas to improve diagnostic accuracy.Amita KumariAmita KLight House Polyclinic Mangalore articleendometrial aspiration cytologycyclic endometriumadenocarcinomahistopathology.MedicineRENOnline Journal of Health & Allied Sciences, Vol 20, Iss 3 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	endometrial aspiration cytology cyclic endometrium adenocarcinoma histopathology. Medicine R
spellingShingle	endometrial aspiration cytology cyclic endometrium adenocarcinoma histopathology. Medicine R Amita Kumari Amita K Diagnostic Efficacy of Endometrial Aspiration Cytology in Abnormal Uterine Bleeding - A Cross Sectional Study at a Tertiary Care Hospital
description	Background: Application of cytology in evaluation of endometrial lesions is emerging and is a valuable diagnostic tool which includes endometrial aspiration cytology and imprint cytology. This study was conducted to analyze the morphological patterns of endometrium in abnormal uterine bleeding by endometrium aspiration cytology and to compare its diagnostic efficacy of with histopathology. Material and method: This was a prospective analytical study which included 127 cases with abnormal uterine bleeding. Aspiration was done using nasogastric tube. This was followed by dilatation and curettage, material obtained and serial imprints were taken. The endometrial biopsy was then sent for histopathological examination. The aspirates and biopsy were stained appropriately. Cytomorphology was studied and subsequently correlated with histopathological features. Results: Mean age was 41.57 Â± 8.42 years and menorrhagia was the most common pattern of bleeding. The most common endometrial pattern observed was of cyclic endometrium by both the techniques. The sensitivity, specificity, positive predictive value and negative predictive value of endometrial aspiration cytology in diagnosing malignancy was 66.67%, 100%, 100% and 99.07% respectively. Conclusion: Endometrial cytology is a simple, rapid, safe and cost-effective tool in evaluating abnormal uterine bleeding in identification of specific pathology. Pathologist must be aware of the cytomorphology and potential pitfalls especially in distinction of atypical hyperplasia and grade 1 adenocarcinomas to improve diagnostic accuracy.
format	article
author	Amita Kumari Amita K
author_facet	Amita Kumari Amita K
author_sort	Amita Kumari
title	Diagnostic Efficacy of Endometrial Aspiration Cytology in Abnormal Uterine Bleeding - A Cross Sectional Study at a Tertiary Care Hospital
title_short	Diagnostic Efficacy of Endometrial Aspiration Cytology in Abnormal Uterine Bleeding - A Cross Sectional Study at a Tertiary Care Hospital
title_full	Diagnostic Efficacy of Endometrial Aspiration Cytology in Abnormal Uterine Bleeding - A Cross Sectional Study at a Tertiary Care Hospital
title_fullStr	Diagnostic Efficacy of Endometrial Aspiration Cytology in Abnormal Uterine Bleeding - A Cross Sectional Study at a Tertiary Care Hospital
title_full_unstemmed	Diagnostic Efficacy of Endometrial Aspiration Cytology in Abnormal Uterine Bleeding - A Cross Sectional Study at a Tertiary Care Hospital
title_sort	diagnostic efficacy of endometrial aspiration cytology in abnormal uterine bleeding - a cross sectional study at a tertiary care hospital
publisher	Light House Polyclinic Mangalore
publishDate	2021
url	https://doaj.org/article/cd5b00f755f743c3b95f95be5ea793e1
work_keys_str_mv	AT amitakumari diagnosticefficacyofendometrialaspirationcytologyinabnormaluterinebleedingacrosssectionalstudyatatertiarycarehospital AT amitak diagnosticefficacyofendometrialaspirationcytologyinabnormaluterinebleedingacrosssectionalstudyatatertiarycarehospital
_version_	1718431079225884672

Diagnostic Efficacy of Endometrial Aspiration Cytology in Abnormal Uterine Bleeding - A Cross Sectional Study at a Tertiary Care Hospital

Ejemplares similares