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Year : 2019  |  Volume : 14  |  Issue : 1  |  Page : 11-15

To correlate histopathological changes and transvaginal sonography findings in the endometrium of patients with abnormal uterine bleeding

1 Department of Pathology, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India
2 Department of Pathology, JNMC, DMIMS, Sawangi (Meghe), Wardha, Maharashtra, India
3 Department of Pathology, District Hospital, Dhamtari, Chhattisgarh, India

Correspondence Address:
Dr. Akanksha Wankhade
Department of Pathology, Jawaharlal Nehru Medical College, Wardha, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jdmimsu.jdmimsu_70_18

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Background: Menstrual ailments are the common manifestation to call for medical visits among women of heavy menstrual bleeding of procreative age. Abnormal uterine bleeding (AUB) affects up to 30% of females in the society. Aim and Objective: The aim of this study was to establish the role of histopathological diagnosis of uterine lesions in patients of AUB and to correlate the transvaginal sonography (TVS) findings with histopathological examination. Materials and Methods: A observational and analytical study was carried out in 120 patients of AUB. All the patients underwent TVS, followed by a histopathological examination of specimens obtained from either D and C or hysterectomy. Results: Menorrhagia was the most common clinical finding. Mean endometrial thickness measured by TVS was 10.15 ± 3.86. Proliferative endometrium (28.33%) was the most frequent finding in histopathological examination, followed by endometrial hyperplasia comprised of 20.83%. Hyperplasia and carcinoma both had a low sensitivity of 36% and 50%, respectively, on TVS compared with histopathology. Conclusion: According to the histopathological diagnosis based on biopsy or D and C, the treatment plan is formulated and the surgery is planned. Hence, even the prognosis depends upon the histopathological examination, TVS is only the initial screening tool for AUB. We advised the clinicians not to rule out these entities only on the basis of TVS.

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