title: [Fractionated curettage without uterine specimen. What to do?].
abstract: In 143 (1.2%) out of 12,357 curettages from 1970 to 1982 we could not get specimens from the corpus. In 7 cases cervix curettage showed suspect tissue therefore no corpus curettage has been done. In 4 cases the corpus uteri has been perforated. Indication was postmenopausal bleeding in 119 patients. In 50 per cent the gynaecologist was to timorous because of a length of more than 7 cm. In 5% a carcinoma of corpus uteri could be found within one year. In 42 per cent the cause of not having specimens was an atrophic uterus. Altogether we had 4% carcinomas of the corpus uteri in the sample. In 80 per cent of the postmenopausal bleedings a control examination within 6 to 8 weeks detected the malignancy. Therefore a D & C for exclusion of carcinoma is to be estimated as an incomplete one, if there is no tissue from the corpus. A control is necessary principally.
mesh_terms: D000328:Adult; D000368:Aged; D001284:Atrophy; D001706:Biopsy; D004107:Dilatation and Curettage; D004717:Endometrium / Q000473:pathology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D014592:Uterine Hemorrhage / Q000473:pathology; D014594:Uterine Neoplasms / Q000473:pathology*; D014599:Uterus / Q000473:pathology*
vernacular_title: Fraktionierte Abrasio ohne Korpusmaterial. Was tun?