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A pilot study to evaluate the relative efficacy of endometrial biopsy and full curettage in making a diagnosis of endometriosis by the detection of endometrial nerve fibers.

Abstract：

OBJECTIVE:The purpose of this study was to evaluate endometrial biopsy and curettage in detecting small nerve fibers in eutopic endometrium for diagnosis of endometriosis. STUDY DESIGN:Endometrial biopsies with precise, consistent technique and curettings were taken from 37 women (20 with endometriosis and 17 without endometriosis). Sensitivity, specificity, and positive and negative predictive value were formally calculated. Endometrial nerve fibers were immunohistochemically detected using the pan-neuronal marker PGP9.5. RESULTS:Small nerve fibers were detected in all endometrial biopsies and curettings from all 20 women with endometriosis, but were not detected in endometrium taken from 17 women without endometriosis. Mean (+/-SD) nerve fiber density in the endometrial biopsies was 26.8 per mm(2) +/- 55.9 (range, 1.6-125) and for curettings was 21.6 per mm(2) +/- 33.1 (range, 0.8-250), with 100% specificity, sensitivity, and positive and negative predictive value. CONCLUSION:Careful endometrial biopsy combined with immunohistochemical staining for nerve fibers may be a reliable means of diagnosing or excluding endometriosis.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Al-Jefout M,Andreadis N,Tokushige N,Markham R,Fraser I

doi

10.1016/j.ajog.2007.04.032

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

578.e1-4

issue

6

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(07)00553-4

journal_volume

197

pub_type

临床试验,杂志文章

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