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ORIGINAL ARTICLE
Year : 2021  |  Volume : 8  |  Issue : 3  |  Page : 216-221

Spectrum of endometrial pathology in patients with abnormal uterine bleeding: a rural population experience


1 Department of Pathology & Lab Medicine, All India Institute of Medical Sciences (AIIMS) Bhopal, AIIMS Campus, Bhopal, Madhya Pradesh, India
2 Department of Radio-Diagnosis, City Maternity Charitable Hospital, Bhiwandi, Thane (District), Maharashtra, India
3 Department of Pediatrics, City Maternity Charitable Hospital, Bhiwandi, Thane (District), Maharashtra, India
4 Department of Obstetrics and Gynecology, City Maternity Charitable Hospital, Bhiwandi, Thane (District), Maharashtra, India

Correspondence Address:
Dr. Abeer M Ilyas
Department of Pathology & Lab Medicine, All India Institute of Medical Sciences (AIIMS) Bhopal, AIIMS Campus, Saket Nagar, Bagh Swaniya, Bhopal 462020, Madhya Pradesh.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mgmj.mgmj_33_21

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Introduction: Abnormal uterine bleeding (AUB) is one of the most common problems among women of all age groups. Endometrial sampling is a frequently performed procedure by the gynecologist that offers an opportunity to diagnose pathological conditions in the endometrium to accurately evaluate and diagnose the etiology. A study of the endometrium will establish the underlying cause and thereafter help the gynecologist to plan for the management. Aims: To study the histopathological pattern and spectrum of lesions in a patient with AUB. To analyze various pathological conditions and to highlight the importance of endometrial histology. Materials and Methods: This is a retrospective study that evaluated 83 patients with AUB by dilatation and curettage and/or endometrial biopsy of the rural population. Results: The most common endometrial pattern found to be hyperplasia without atypia (19/83) 22.9% followed by disordered proliferative (17/83) 19.27% and later by endometrial polyp (8/83) 9.63%, atypical hyperplasia/endometrioid intraepithelial neoplasia (1/83) 1.2% and lastly one case each of chronic non-specific endometritis, tuberculous endometritis, and histiocytic endometritis. There were 2/83 that is 2.4% case of endometrial adenocarcinoma with age range falling between above 50 years. Conclusion: Endometrial biopsy or curettage could be a safe and effective diagnostic step in the evaluation of AUB after ruling out medical causes with a detailed workup of the patient. This could help the clinician to design therapy for successful management.


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