Prevalence of hysteroscopic findings and histologic diagnoses in patients with abnormal uterine bleeding.
OBJECTIVE
To describe the prevalence of hysteroscopic findings and histologic diagnoses in patients with abnormal uterine bleeding (AUB).


METHODS
Retrospective series of consecutive patients.


METHODS
Tertiary care university hospital and private office.


METHODS
Four thousand fifty-four hysteroscopies with biopsy in patients with AUB evaluated between June 1993 and December 2004.


METHODS
Hysteroscopies were performed using 2.9-mm or 4-mm telescopes with CO(2) or saline as the distension media. Biopsies were done with a 5-mm grasper or with a Novak's curette.


METHODS
Prevalence of hysteroscopic findings and histologic analysis of biopsies.


RESULTS
Endometrial polyp was the most frequent hysteroscopic finding, accounting for 1,374 (33.9%) cases. Normal uterine cavity and cervical canal were found in 814 (20.1%) patients. Submucous fibroids were diagnosed in 302 (7.5%) women. Normal endometrium was the most frequent histologic diagnosis, accounting for 1,888 (46.6%) cases. Endometrial polyp was found in 1,115 (27.5%) patients. Endometrial hyperplasia was diagnosed in 613 (15.1%) and endometrial cancer in 105 (2.6%) women.


CONCLUSIONS
Endometrial polyps are the most frequent hysteroscopic findings in patients with AUB, whereas normal endometrium is the most frequent histologic diagnosis.
Lasmar
Ricardo Bassil
RB
Department of Gynecology, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil. ricardo@lasmar.com.br
Dias
Rogério
R
Barrozo
Paulo Roberto Mussel
PR
Oliveira
Marco Aurélio Pinho
MA
Coutinho
Evandro da Silva Freire
Eda S
da Rosa
Daniela Baltar
DB
D001706:Biopsy; D016889:Endometrial Neoplasms / Q000473:pathology; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007247:Infertility, Female / Q000209:etiology / Q000473:pathology; D009214:Myoma / Q000473:pathology; D011127:Polyps / Q000473:pathology; D012189:Retrospective Studies; D014592:Uterine Hemorrhage / Q000473:pathology*; D014594:Uterine Neoplasms / Q000473:pathology; D014599:Uterus / Q000473:pathology*