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Objective: To determine the frequency of common histopathological findings among patients having endometrial thickness ≥ 5mm presenting with abnormal uterine bleeding.
Methodology: A descriptive cross-sectional study was performed at the Department of Obstetrics and Gynaecology, Jinnah Postgraduate Medical Centre, Karachi from June to November 2019. 270 females with atypical uterine bleeding for more than 06 months and endometrial thickness of ≥ 5mm on transvaginal ultrasonography (TVS) were selected for the study. The written consent was taken from selected women after fulfilling the criteria. Endometrial sampling was performed either by D&C or pipelle and was subjected to histo-pathological examination was also performed and the data was recorded.
Results: The patient’s mean age was 47.59± 5.35 years. The most common findings were secretary and proliferative phase, observed in 41.1% and 25.9% patients respectively. Atrophic 8.1% Polyp 6.3%, simple hyperplasia 5.2%, son-atypia complex hyperplasia 3.7%, atypia involving complex hyperplasia 3.7%, and adenocarcinoma was observed in 5.6%.
Conclusion: Transvaginal ultrasonography is a reliable initial screening approach in the assessment of irregular uterine bleeding as well as appears to be a useful approach for excluding endometrial anomalies.
Khadija Bano, Saba Khan, Osama Ahmed Qazi. (2020) Frequency of Common Histopathological Findings Among Patients Having Endometrial Thickness ≥ 5 Mm Presenting with Abnormal Uterine Bleeding, Journal of the Society of Obstetrics and Gynaecologists of Pakistan , Volume-10, Issue-1.
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