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Titolo:
Hysteroscopic myometrial biopsy in unexplained abnormal uterine bleeding
Autore:
Darwish, AM; Makhlouf, AM; Youssof, AA; Gadalla, HA;
Indirizzi:
Assiut Univ Hosp, Dept Obstet, Assiut, Egypt Assiut Univ Hosp Assiut Egypt iut Univ Hosp, Dept Obstet, Assiut, Egypt Assiut Univ Hosp, Dept Gynecol, Assiut, Egypt Assiut Univ Hosp Assiut Egypt ut Univ Hosp, Dept Gynecol, Assiut, Egypt Al Azhar Univ, Fac Med, Dept Pathol, Assiut, Egypt Al Azhar Univ Assiut Egypt ar Univ, Fac Med, Dept Pathol, Assiut, Egypt
Titolo Testata:
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY
fascicolo: 2, volume: 86, anno: 1999,
pagine: 139 - 143
SICI:
0301-2115(199910)86:2<139:HMBIUA>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
DIFFUSE ADENOMYOSIS; DIAGNOSIS; ULTRASONOGRAPHY; MENORRHAGIA; UTERUS;
Keywords:
hysteroscopy; uterine bleeding; myometrial biopsy; hysterectomy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Darwish, AM Assiut Univ Hosp, Dept Obstet, POB 1, Assiut, Egypt Assiut Univ Hosp POB 1 Assiut Egypt et, POB 1, Assiut, Egypt
Citazione:
A.M. Darwish et al., "Hysteroscopic myometrial biopsy in unexplained abnormal uterine bleeding", EUR J OB GY, 86(2), 1999, pp. 139-143

Abstract

Objectives: To define the value of hysteroscopic myometrial biopsy in unexplained abnormal uterine bleeding not responding to hormonal treatment and to compare two hysteroscopic biopsy techniques. Design: A prospective cross-sectional comparative study. Setting: Gynecologic Endoscopy Unit, Assiut University Hospital, Egypt. Patients: It comprised 99 patients with abnormaluterine bleeding who underwent transvaginal ultrasonography, endometrial biopsy and diagnostic hysteroscopy, which revealed no local lesions. Interventions: Operative hysteroscopy was performed for 62 of them (group A). Hysteroscopic myometrial biopsies were taken using rigid biopsy forceps and theresectoscope successively guided by the previous ultrasonography of the myometrium. Thirty-seven patients (group B) underwent total abdominal hysterectomy followed by multiple full-thickness myometrial biopsies of the specimens. Results: Pathologic myometrium was diagnosed in 12 (19%), 27 (43%) and21 (56.5%) biopsies taken with the rigid biopsy forceps and the resectoscope (group A) and full-thickness biopsies (group B) respectively. Thirty biopsies (48%) taken with the rigid biopsy forceps were inadequate for proper histopathologic assessment while thermal effect was excessive in only four biopsies (6%) taken with the resectoscope. Honeycomb sonographic appearancewas specific in prediction of adenomyosis. Conclusions: Resectoscopic myometrial biopsy can explain the cause of persistent abnormal uterine bleedingin about 43% of cases. Myometrial biopsy using the rigid biopsy forceps isinadequate and is not recommended. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 16/07/20 alle ore 05:42:28