Volume : IV, Issue : IX, September - 2015

Endometrial pathology in abnormal uterine bleeding

Dr. N. S. Jesalpura, Dr. Deepak Joshi

Abstract :

Abnormal uterine bleeding is the commonestsymptom in the Gynaecology outpatient department inall age groups. Histopathological examination of the endometrial samples plays a vital role in the diagnosis of abnormal uterine bleeding. This study was carried out with an aim to determine the histopathological pattern of the endometrium in women presenting with abnormal uterine bleeding. A retrospective histopathologicanalysis of 300 patients with abnormal uterine bleeding was done at Pathology department, Sheth L.G. General Hospital, AMC MET Medical College, Ahmedabad. The sampling was done during July 2013 to December 2014 at Department of Gynecology and Obstetrics. The age of patients ranged from 19 to 73 years. Maximum number of cases 141 (47%) were seen from perimenopausal age group where proliferative endometrium was predominant pattern (57.4%), followed by secretory phase in 12.8% of cases and endometrial hyperplasia in 9.2% cases. Atrophic endometrium in 38.6 %patients was the most frequent finding followed by proliferative pattern in 35.1%, and endometrial hyperplasia 8.8 % in postmenopausal age group. In reproductive age group normal secretory phase was seen in 39.2% of cases followed by proliferative endometrium in 27.4% cases. Endometrial carcinoma were diagnosed in 3 cases. We concluded that a thorough histopathological workup and clinical correlation is mandatory in cases of abnormal uterine bleeding especially above the age of 40 years to find out organic lesions.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. N. S. Jesalpura, Dr. Deepak Joshi Endometrial pathology in abnormal uterine bleeding International Journal of Scientific Research, Vol : 4, Issue : 9 September 2015

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