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endometrial curetting

Monday 25 February 2013

endometrial curettage; endometrial curettings; suction curettage specimen; endometrial biopsy

Images

- Partial Hydatidiform Mole by Ed Authman

Indications

- Abnormal uterine bleeding

  • Abnormal uterine bleeding is one of the most frequent problems in life of an adult female.
  • Uterine curettage or biopsy remains a preferred sampling procedure for diagnosis of the endometrial pathology.
  • Abnormal uterine bleeding is one of the most frequent problems in life of an adult female.
  • Common causes of abnormal uterine bleeding include chronic endometritis, endometrial polyp, endometrial hyperplasia or carcinoma.
  • Abnormal uterine bleeding may be the common presenting complaint in patients with malignant or premalignant endometrial lesion.
  • To diagnose the true pathology, endometrial sampling is important.
  • Endometrial tissue can be obtained through several tecniques like Pipelle and Vebra. Among these methods, uterine curettage or biopsy remains a preferred sampling procedure. It is a comparatively economical office procedure, and modifications in sampling instrument design since the technique’s inception have reduced the distress of procedure without compromising sample efficiency.
  • This technique is now considered as first line diagnostic tool because of its diagnostic accuracy, safety, quickness and convenience.

References

- Diagnosis of Endometrial Biopsies and Curettings: A Practical Approach. by Michael Mazur, Robert J. Kurman. 15 December 2004. ISBN: 0387986154