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Prevalence of hysteroscopic findings and histologic diagnoses in patients with abnormal uterine bleeding.

Abstract：

OBJECTIVE:To describe the prevalence of hysteroscopic findings and histologic diagnoses in patients with abnormal uterine bleeding (AUB). DESIGN:Retrospective series of consecutive patients. SETTING:Tertiary care university hospital and private office. PATIENT(S):Four thousand fifty-four hysteroscopies with biopsy in patients with AUB evaluated between June 1993 and December 2004. INTERVENTION(S):Hysteroscopies were performed using 2.9-mm or 4-mm telescopes with CO(2) or saline as the distension media. Biopsies were done with a 5-mm grasper or with a Novak's curette. MAIN OUTCOME MEASURE(S):Prevalence of hysteroscopic findings and histologic analysis of biopsies. RESULT(S):Endometrial polyp was the most frequent hysteroscopic finding, accounting for 1,374 (33.9%) cases. Normal uterine cavity and cervical canal were found in 814 (20.1%) patients. Submucous fibroids were diagnosed in 302 (7.5%) women. Normal endometrium was the most frequent histologic diagnosis, accounting for 1,888 (46.6%) cases. Endometrial polyp was found in 1,115 (27.5%) patients. Endometrial hyperplasia was diagnosed in 613 (15.1%) and endometrial cancer in 105 (2.6%) women. CONCLUSION(S):Endometrial polyps are the most frequent hysteroscopic findings in patients with AUB, whereas normal endometrium is the most frequent histologic diagnosis.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Lasmar RB,Dias R,Barrozo PR,Oliveira MA,Coutinho Eda S,da Rosa DB

doi

10.1016/j.fertnstert.2007.05.045

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

1803-7

issue

6

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(07)01213-7

journal_volume

89

pub_type

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