title: [Evaluation of postmenopausal uterine bleeding by endometrial biopsy in-office hysteroscopy vs endometrial biopsy with manual vacuum aspiration in the office. Preliminary report].
abstract: OBJECTIVE
  To compare endometrial biopsy by hysteroscopy vs manual endouterine aspiration in office, in patients of Climateric Clinic from Hospital Regional de Alta Especialidad de la Mujer Tabasco, with postmenopausal uterine bleeding.
  
  
  METHODS
  There were included patients that come from October 30 2007 to December 20 2008 to Climateric Clinic, with abnormal uterine bleeding and without hormonal replacement therapy. There were taken biopsy by hysteroscopy and AMEU. The histopathology results were compared.
  
  
  RESULTS
  A total of 25 women were evaluated. The average age was 53 years (+/- 5.6). The delivery average was 3 births (+/- 1). We found polyps in 9 (37%) patients, endometrial atrophy in 3 (13%), cystic hyperplasia in 2 (8%), proliferative endometrium in 4 (17%), submucous myomas in 5 (21%) and neoplasia in 1 (4%). The correlation between endometrial biopsy by hysteroscopy and AMEU was 100% for endometrial atrophy, cystic hyperplasia, proliferativo endometrium and neoplasia. There was not correlation between manual endouterine aspiration and endometrial biopsy by hysteroscopy for polyps and submucous myomas. We didn't have complications during the procedures.
  
  
  CONCLUSIONS
  Hysteroscopic endometrial biopsy seems to have the same histopathology results than AMEU for endometrial atrophy, cystic hyperplasia, proliferative endometrium and neoplasia, not for miomas and polyps. Hysteroscopy can give us the possibility to see miomas and polyps and treat surgical pathology at the same moment almost in all cases.
authors.affiliation: Departamento de Biología de la Reproducción Humana, Hospital Regional de Alta Especialidad de la Mujer de Tabasco, Villahermosa, Tabasco. dr_arias.hernandez@hotmail.com
authors.forename: José Arias
authors.initials: JA
authors.lastname: Hernández
authors.forename: María Eugenia Lozano
authors.initials: ME
authors.lastname: Franco
authors.forename: David Pablo Bulnes
authors.initials: DP
authors.lastname: Mendizábal
authors.forename: Yrma Bocanegra
authors.initials: YB
authors.lastname: Broca
authors.forename: Adrián Fores
authors.initials: AF
authors.lastname: Escoto
mesh_terms: D001706:Biopsy / Q000379:methods; D004717:Endometrium / Q000473:pathology*; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008875:Middle Aged; D009819:Office Visits; D017698:Postmenopause; D014592:Uterine Hemorrhage / Q000473:pathology*; D014619:Vacuum Curettage