title: The diagnostic value and patient acceptability of outpatient endometrial sampling with Gynoscann.
abstract: Endometrial sampling with Gynoscann was performed in the outpatient department in 70 women with abnormal vaginal bleeding prior to dilatation and curettage (D&C). Successful endometrial sampling was achieved in 62 (89%) patients; Of the samples obtained 44 (71.0%) were adequate for cytological assessment and 46 (74.2%) for histological assessment, compared to 80% of D&C samples being adequate for histological examination. In those patients in whom outpatient endometrial sampling was adequate, both the cytological and histological diagnosis agreed with the D&C. The outpatient endometrial sampling was well tolerated by the patients since the majority (89%) experienced either no or little pain. Vaginal bleeding following the procedure was minimal in all except 1 patient. Endometrial sampling with Gynoscann may be useful for endometrial assessment prior to commencement of hormonal therapy and hysterectomy. It is a potentially useful screening test for early detection of endometrial cancer in patients at risk.
authors.affiliation: Department of Obstetrics and Gynaecology, Singapore General Hospital.
authors.forename: S K
authors.initials: SK
authors.lastname: Tay
authors.forename: S A
authors.initials: SA
authors.lastname: Tan
authors.forename: K M
authors.initials: KM
authors.lastname: Chua
authors.forename: S K
authors.initials: SK
authors.lastname: Lim-Tan
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000379:methods; D004107:Dilatation and Curettage; D004717:Endometrium / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D013048:Specimen Handling / Q000379:methods*; D014592:Uterine Hemorrhage / Q000175:diagnosis* / Q000473:pathology