By examining histological results in endometrial tissue samples, the current study establishes the most prevalent age group and frequent pathology producing abnormal uterine bleeding.
Abnormal uterine bleeding is one of the most common presenting symptoms in the
gynaecology outpatient department (AUB). Unusual uterine bleeding for which
there is no known cause is referred to as "dysfunctional uterine
haemorrhage." For individuals who have abnormal uterine bleeding, it is
essential to assess the endometrium's histological appearance. A beneficial
initial step in the diagnosis of DUB may be an endometrial biopsy. This
prospective research was conducted in the departments of pathology at Bhaskar
Medical College and Satya Diagnostic Center in Hyderabad, Telangana State, on
patients who presented with abnormal uterine haemorrhage. The research lasted
for a total of two years, from June 2014 to November 2016. For the final
analysis, 150 endometrial lesions with histopathological diagnoses were chosen.
The dilatation and curettage (D&C) procedure was used to collect all of the
endometrial samples included in the study. The patients' ages varied from 21 to
78 years old, with a mean of 49.5 years. Endometrial polyp, complex hyperplasia
without atypia, endometrial cancer, pill endometrium, complex hyperplasia with
atypia, endometritis, atrophic endometrium, and adenomatous hyperplasia were
among the other patterns found. Age pattern and endometrial causes of DUB were
statistically significant with a P value 0.05. In order to rule out cancer, a
thorough histopathological examination of the endometrium should be performed on
women who report with abnormal uterine bleeding, especially beyond the age of
40. In situations of dysfunctional uterine haemorrhage, it is helpful for
diagnosis, to evaluate treatment response, and to understand the pathological
incidence of organic lesions before surgery. In different types of AUB, D&C
shows endometrial patterns and also aids in ruling out any organic disease. The
endometrium should thus be histopathologically examined in women over 40 to
rule out preneoplastic lesions and cancer.
Author(s) Details:
Department of Pathology, Bhaskar Medical College, Ranga Reddy District,
Telangana State, India.
Ch. Jyothi,
Gandhi Medical College, Secunderabad, Telangana State, India.
M. Narsing Rao,
Department of Pathology, Bhaskar Medical College, Ranga Reddy District,
Telangana State, India.
V. Sailaja,
Department of Pathology, Bhaskar Medical College, Ranga Reddy District,
Telangana State, India.
M. N. P. Charan Paul,
Department of Pathology, Bhaskar Medical College, Ranga Reddy District,
Telangana State, India.
G.Vijaya Lakshmi,
Department of Obg and Gynecology, Bhaskar Medical College, Ranga Reddy
District, Telangana State, India.
Please see the link here: https://stm.bookpi.org/CPMS-V3/article/view/7385
