qums

Clinicoradiopathological findings of endometrium in patients with abnormal uterine bleeding

nik mohammadi, mina (2017) Clinicoradiopathological findings of endometrium in patients with abnormal uterine bleeding. Masters thesis, Qazvin university of medicine sciences , Qazvin , Iran.

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Abstract

Background: Abnormal uterine bleeding (AUB) is the most common complaint of referrals to the gynecology clinic and disrupts the normal functioning of the patient and leads to wasting useful work hours in the community. The aim of this study was to investigate the clinicoradiopathological findings of endometrium in patients with AUB in 2007-2016. Methods: This descriptive-analytic study was performed on samples of pathology section of Kowsar Hospital (Qazvin) between 2007 and 2016 due to AUB under D&C. All demographic, clinical, endometrial ultrasonographic data and histopathological examination results were recorded in a two-part checklist. Data were analyzed by SPSS software version 19 using Chi-square or t-test (P <0.05). Results: In this study, 888 cases were examined. The most common type of AUB among women was menometrorrhagia (32.7%) and then metrorrhagia (31%). Results of ultrasonography showed that endometrial thickness was found in 51% of patients in the reproductive range (12-8 mm). Pathologic outcomes in the uterus were among the patients. The most pathologic pattern in these patients was proliferative endometrium (33.6%), followed by secretory endometrium (15.8%) and endometrial polyp (14.9%). %). The relation between ultrasound findings and pathologic findings with age range and type of AUB, and ultrasound findings with pathologic findings were statistically significant (P <0.05). Conclusions: Histopathologic evaluation is necessary in patients with premenopausal and postmenopausal women with AUB. Histopathological evaluation not only provides clear information about organic causes, such as polyps and hyperplasia, but also helps us diagnose early atypical hyperplasia and endometrial cancer that has the worse prognosis. Key words: Abnormal uterine bleeding, ultrasonography, Histopathological finding

Item Type: Thesis (Masters)
Subjects: R Medicine > RB Pathology
Divisions: University Thesis > Faculty of Medicine
Depositing User: Medicine School Students
Date Deposited: 31 Dec 2017 05:32
Last Modified: 31 Dec 2017 05:32
URI: http://eprints.qums.ac.ir/id/eprint/7122

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