SUMMARY:
AIM : In this study we aimed to compare the endometrial suction biopsy (ESB) with Pipelle® and endometrial curettage (D&C) findings from patients with abnormal uterine bleeding and/or endometrial thickness to observe the possible influencing factors on ESBs diagnostic value.
MATERIAL AND METHODS: In Tekirdağ Community Hospital and Gynecology Clinic; retrospectively, data were collected from hospital registry. 122 patients were selected who had abnormal uterine bleeding and/or endometrial thickness and from all cases, endometrial biopsy were taken as Pipelle® and D&C methods at the same time. In conclusion, pathologic results of two methods were compared.
RESULTS: Pathology results were as follows: By Pipelle®, 44 patients (36.1 %) with endometrial polyps, 26 patients (21.3%) with endometrial atrophy, 31 patients (25.4%) with proliferative endometrium, 11 patients (9%) with secretory endometrium, 4 patients (3.3%) with endometrial carcinoma, 1 patient (0.8%) with hyperplasia without atypia, 2 patients (1.6%) with inflammation; by D&C, 55 patients (45.1%) with polyp, 20 patients (16.4%) with endometrial atrophy, 34 patients (27.9%) with proliferative endometrium, 9 patients (7.4%) with secretory endometrium, 4 patients (3.3%) with endometrial carcinoma, 1 patient (0.8%) with hyperplasia without atypia, 2 patients (1.6%) with inflammation. Correlation between two methods were found as 97.6%, 95.3% , 91.7% , 98.3% , 100% , 100%, and 100%. For proliferative endometrium, atrophy, polyp, secretory endometrium, endometrial cancer, hyperplasia without atypia and inflammation, respectively. Discorrelation between two diagnostic methods more commonly seen in endometrial polyp pathology.
CONCLUSION: Our study findings revealed very high correlations between the pathology results of Pipelle® and D&C procedures. Pipelle®, with the advantages of being a simple outpatient procedure and having less complication rates can be preferred over D&C reliably in most clinic situations. On the other hand, D&C method should be preferred in cases of endometrial polyp pathologies due to increased discorrelation rates and biopsy failures in Pipelle® biopsy.
KEY WORDS:
Uterine bleeding; Pipelle® Biopsy; Dilatation and curettage; Endometrial thickness
Key words: Uterine bleeding; Pipelle® Biopsy; Dilatation and curettage; Endometrial thickness
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