Prehysterectomy curettage in women with uterine fibromyomata is not worthwhile.
OBJECTIVE
To study the value of prehysterectomy curettage in women referred on the suggestion of uterine fibroids.


METHODS
A retrospective study.


METHODS
Gentofte Hospital, University of Copenhagen.


METHODS
Four hundred and eleven patients with a curettage prior to hysterectomy on suspicion of uterine fibroids.


METHODS
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.


CONCLUSIONS
Curettage in women with a preoperative diagnosis of uterine fibromyomata is not worthwhile.
Department of Obstetrics and Gynecology, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark.
L M
LM
Møller
A
A
Berget
D000328:Adult; D000368:Aged; D002278:Carcinoma in Situ / Q000175:diagnosis; D003951:Diagnostic Errors; D004107:Dilatation and Curettage; D004714:Endometrial Hyperplasia / Q000175:diagnosis; D016889:Endometrial Neoplasms / Q000175:diagnosis; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000175:diagnosis / Q000601:surgery*; D007890:Leiomyosarcoma / Q000175:diagnosis; D008875:Middle Aged; D010048:Ovarian Cysts / Q000175:diagnosis; D010051:Ovarian Neoplasms / Q000175:diagnosis; D011300:Preoperative Care / Q000379:methods*; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000601:surgery*