Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Endometrial sampling prior to hysterectomy.

T G Stovall1, S K Solomon, F W Ling

  • 1Department of Obstetrics and Gynecology, University of Tennessee, Memphis.

Obstetrics and Gynecology
|March 1, 1989
PubMed
Summary

Routine pre-hysterectomy endometrial sampling is not recommended. While safe, these methods have limitations and do not consistently detect endometrial hyperplasia or carcinoma, indicating biopsy is needed for specific bleeding symptoms.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A comparative study on idiopathic pulmonary fibrosis and secondary diffuse parenchymal lung disease.

Indian journal of medical sciences·2004
Same author

Clinical experience with epoetin alfa in the management of hemoglobin levels in orthopedic surgery and cancer. Implications for use in gynecologic surgery.

The Journal of reproductive medicine·2001
Same author

Nonsurgical treatment of ectopic pregnancy.

The New England journal of medicine·2000
Same author

Recognizing and treating premenstrual dysphoric disorder in the obstetric, gynecologic, and primary care practices.

The Journal of clinical psychiatry·2000
Same author

A technique to reduce the chance of persistent ectopic pregnancy.

The Journal of the American Association of Gynecologic Laparoscopists·1999
Same author

Predictors of success of methotrexate treatment in women with tubal ectopic pregnancies.

The New England journal of medicine·1999

Area of Science:

  • Gynecologic Oncology
  • Surgical Pathology

Background:

  • Endometrial sampling is often performed before hysterectomy to detect unsuspected endometrial cancer.
  • Outpatient endometrial sampling techniques have replaced in-anesthesia procedures but carry risks like discomfort and infection.

Purpose of the Study:

  • To evaluate the clinical utility of pre-hysterectomy endometrial sampling in detecting endometrial hyperplasia and carcinoma.

Main Methods:

  • A retrospective review of 619 patients undergoing hysterectomy between 1981-1985.
  • Pre-operative endometrial sampling via Vabra aspiration, Novak curette, or D&C (dilatation and curettage) was compared to hysterectomy specimen histology.

Main Results:

  • Endometrial sampling failed to detect hyperplasia or carcinoma in 30 cases.

Related Experiment Videos

  • D&C was the method used in the two cases of missed endometrial carcinoma.
  • The diagnostic capabilities of Vabra aspiration, Novak curette, and D&C were found to be comparable.

    • Conclusions:

    • Pre-hysterectomy endometrial sampling is not routinely supported by these findings.
    • Biopsy remains crucial for patients with postmenopausal bleeding or abnormal uterine bleeding at age 35 or older.