ROLE OF DILATATION AND CURETTAGE AND INTERPRETATION OF ENDOMETRIAL BIOPSY IN GYNAECOLOGICAL CASES

Authors

  • Aziz -un-Nisa Abbasi
  • Khalid Khan
  • Shamim S. Majid

Abstract

3 JO Cases of diagnostic D and C were collected randomly from Gynae unit of Lady Reading Hospital Peshawarfrom January 1990 to January 1991. These were cases of infertility> 49.26 %, menorrhagia 13.22 %, irregularbleeding 29.67 %, Postmenopausal bleeding 5.16 %, primary’ and secondary' infertility 30.96 % and 18.38 %respectively. Various aspects like age, parity, marital status, clinical features and histopathological results wereanalysed.6.45 % were below the age of 20 years. 63.22 % between 21 to 40 years, 25.16 % between 40-50 years and 5.16% were above the age of 50 years. 16.45 % patients were nullipara.15.48 % Primiparae and 37.09 % and 30.96 % were multipara and grand multipara respectively. 0.64 %patients were un-married, 84.83 % were married and 40.51 % were widows. Results of endometrial biopsieswere as follows. Proliferative phase 47.74 %. secretory’ phase 35.48 %. tuberculous endometritis 1.93 %, cysticendometrial hyperplasia 8.38 %, Adenomatous hyperplasia 1.29 % and adenocarcinoma 0.96 %.

References

Bonnar J, Sheppard BL. Treatment of menorrhagia during

menstruation randomised controlled trial of ethamsylate,

mefanamic acid, and transexamine acid BMJ 1996, 313:

-82.

Chandrasekaran P, Rubinger T, Mohamed H et al. Is there

any need for in-patient diagnostic hysteroscopies?

Presented at 27th British Congress of Obstetrics and

Gynaecology; 1995: Dublin.

Coulter A, Klassen A. Mackenzie I, McPherson K.

Diagnosistic dilatation and curettage: is it used

appropriately? BMJ 1993; 306: 236-39.

Coulter A, Kelland J, Long A, Melvill AO Mears S et al.

The management of menorrhagia Effective Health Care

Bulletin 1995: No.9.

Coulter A, Peto V, Jenkinson C. Quality of life and patient

satisfaction following treatment for menorrhagia. Fam

Pract 1994; 11: 394 201.

Geoffrey, Lane, Malcolm (1990). The Histo-chemistry of

estradiol 17 B dehydrogenase in normal endometrium and

endometrial carcinoma. Br. J. Obstet Gynaecol Vol.97, pp.

-744.

Hill NCW, Broadbent JAM, Magos AL. The role of

outpatient hysteroscopy Contemp. Rev Obstet. Gynaecol.

; 4: 209-214.

Howie P.W. (1995). Trophoblastic diseases. Chap 37, page

Dewhurst’s textbook of Obstetrics and Gynaecology

for Postgraduates. 4th Edn. Butper and Tanner Ltd.

London.

John Howkins and Christoher N, Hudson (1992).

Operations on cavity of the uterus. Chap 8, page 112.

Shaws text book of operative Gynaecology 5th Edn.

Churchill Livingstone.

Petrucco OM (1994) Endometrial ablative surgery. Is there

a future, presentation to the RACOG Annual Scientific

Meeting? Sydney, Australia. April 1994.

Thomas G, Steven K, Solomon and Frank W, Link (1989).

Obstet Gynaecol Vol.73 405-409.

Walter JB, MS Israel (ed) (1992). General pathology 6th

edn. Churchill Livingstone Edinburg/London/

Melbourne/New York.

William F, Ganong (ed) (1989). Review of Medical

Physiology 4th edn. Appleton and Lange publication page

Zupi E, Luciano AA, Valli E et al. The use of topical

anesthesia in diagnostic hysteroscopy and endometrial

biopsy. Fertil Steril 1995; 63: 414-416.

Hammond R.H, L.W. Oppenheimer (1989). Diagnostic

role of dilatation and curettage in the management of

abnormal premenopausal bleeding.

Downloads

Most read articles by the same author(s)

1 2 > >>