IMPORTANCE OF HISTOPATHOLOGICAL STUDY OF ENDOMETRIAL BIOPSY IN MANAGEMENT OF ABNORMAL UTERINE BLEEDING

Dr. Suwarna B Patil; Dr. Bhupendra V. Patil; Dr. Swarada V. Kangate; Dr. Snehal R.Rajput; Dr. Pradeep S Umap; Dr. Pradeep Rudra

Volume : IX, Issue : VI, June - 2020

IMPORTANCE OF HISTOPATHOLOGICAL STUDY OF ENDOMETRIAL BIOPSY IN MANAGEMENT OF ABNORMAL UTERINE BLEEDING

Dr. Suwarna B Patil, Dr. Bhupendra V. Patil, Dr. Swarada V. Kangate, Dr. Snehal R. Rajput, Dr. Pradeep S Umap, Dr. Pradeep Rudra

Abstract :

Background: Abnormal uterine bleeding (AUB) is one of the most common gynaecological problem that Gynaecologist and Pathologist face worldwide. Endometrial biopsy reporting is a challenge to Histo-pathologist due to a wide spectrum of morphological patterns. Aims: To study wide spectrum of histopathological lesions in endometrial biopsies. Methods: This was a retrospective cross sectional study conducted over period of 2 years at a tertiary care centre. Results: In the present study, out of 226 cases of endometrial biopsies presenting with AUB, major bulk 86 cases (38.05%) showed normal histology of endometrium. Simple and complex endometrial hyperplasia was seen in 55 cases(24.33%). Endometrial carcinoma was seen in 22 cases (9.73%). Endometritis was seen in 20 cases (8.84%) Conclusion: The sensitivity of endometrial biopsy for detection of endometrial abnormalities is very high 96%. Correct histopathological diagnosis whether benign, premalignant and malignant, helps the treating Gynaecologist to decide appropriate therapeutic strategy. Endometrial biopsy is also a very useful screening modality for high risk patients of carcinoma endometrium.