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Prehysterectomy curettage in women with uterine fibromyomata is not worthwhile
1Department of Obstetrics and Gynecology, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark.
Objective:
To study the value of prehysterectomy curettage in women referred on the suggestion of uterine fibroids.
Design:
A retrospective study.
Setting:
Gentofte Hospital, University of Copenhagen.
Subjects:
Four hundred and eleven patients with a curettage prior to hysterectomy on suspicion of uterine fibroids.
Main Outcome Measure:
Histological accuracy, frequency of (pre)malignancies and clinical consequences due to routine curettage.
Results:
Curettage disclosed two cases of endometrial cancer and four cases of CIN. It missed two cases of CIN and one case of endometrial cancer in a postmenopausal women. In no case did the final histology disclose diseases that had not been taken care of during the laparotomy.
Conclusion:
Curettage in women with a preoperative diagnosis of uterine fibromyomata is not worthwhile.