Can "chromohysteroscopy" help target endometrial biopsy in postmenopausal bleeding?
A preliminary study was conducted to evaluate the value of endometrial dying during diagnostic hysteroscopy. Twenty-two postmenopausal bleeding cases without hysteroscopic findings were included in the study. Before the random endometrial biopsy 5 ml of methylene blue (1%) was instilled into the uterine cavity. Staining was observed in 19 of the cases. Tissues were obtained from both stained and non-stained areas with grasping forceps. "Chromohysteroscopy" led the diagnosis of three more endometrial pathologies; two more cases of endometritis and one more case of endometrial hyperplasia. In conclusion, chromohysteroscopy seems like a new avenue worth pursuing for better diagnoses of unexplained endometrial pathologies.
Küçük
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Department Obstetrics and Gynecology, GATA School of Medicine, Ankara, Turkey. tansukucuk@gmail.com
Deveci
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D001706:Biopsy / Q000379:methods*; D004714:Endometrial Hyperplasia / Q000175:diagnosis*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008751:Methylene Blue; D008796:Metrorrhagia / Q000209:etiology*; D008875:Middle Aged; D010865:Pilot Projects; D017698:Postmenopause
D008751:Methylene Blue