ENDOMETRIAL HISTOPATHOLOGY IN ABNORMAL UTERINE BLEEDING: A RETROSPECTIVE ANALYSIS

Poonam Sharma, Mehnaz Choudhary

Abstract


BACKGROUND:Abnormal uterine bleeding (AUB) is one of the commonest complaints in women and is an important symptom of both benign
and malignant diseases. Histopathological evaluation of endometrium plays a pivotal role in the diagnosis and management of endometrial causes
of Abnormal Uterine Bleeding. This study was carried out to evaluate patterns of endometrial histological findings in women with abnormal uterine
bleeding
AIM/OBJECTIVES:To determine the types and frequencies of endometrial pathologies in patients presenting with AUB at our hospital
MATERIAL AND METHODS:This retrospective study was carried out in the Department of Pathology over a period of two years. Seven
hundred patients with abnormal uterine bleeding underwent endometrial biopsy/hysterectomy. The slides stained with Hematoxylin and Eosin
stain were studied.
RESULTS:AUB was most prevalent in the perimenopausal age group. Secretory endometrium was the commonest histopathological finding
(23.4%) followed by Simple hyperplasia (16.0%). Malignancy was detected in 1.7% of cases and endometrial carcinoma was the most common
malignant lesion (1.4%).
CONCLUSIONS:Histopathological examination of endometrium should be routinely performed in women presenting with abnormal uterine
bleeding especially in perimenopausal and post menopausal women to diagnose premalignant conditions and malignancy


Keywords


Histopathology; Endometrium; Abnormal Uterine Bleeding; Malignancy

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