title: Diagnostic accuracy of endometrial curettage in endometrial pathology.
abstract: BACKGROUND
  Abnormal uterine bleeding is one of the most frequent problems in life of an adult female. Uterine curettage or biopsy remains a preferred sampling procedure for diagnosis of the endometrial pathology. The objective of this study was to compare the sensitivity, specificity, positive and negative predictive value of endometrial curettage.
  
  
  METHODS
  This validation study was carried out at the Department of Histopathology, Army Medical College Rawalpindi in collaboration with Military Hospital, Rawalpindi from January to December 2010. The study included 50 curettage and subsequent hysterectomy specimen of the same patients. Non-probability sampling technique was used to divide patients into two groups with 50 patients in each group. One group was of endometrial curettage having endometrial pathology (group A). Second group was of subsequent hysterectomy specimen of the same patients (group B).
  
  
  RESULTS
  Endometrial curettage was found most accurate in diagnosing endometrial carcinoma. Sensitivity of endometrial curettage was found to be 33% whereas specificity and positive predictive value was found to be 100% each. Negative predictive value was found to be 93.1%.
  
  
  CONCLUSIONS
  Endometrial biopsy is a sensitive and a specific test in and is accurate in diagnosing endometrial pathology. It is found most accurate in diagnosing endometrial carcinoma.
authors: Department of Pathology, Army Medical College, Rawalpindi, Pakistan. aiza2483@hotmail.com
authors: Aiza
authors: A
authors: Saadia
authors: Azher
authors: A
authors: Mubarik
authors: Alia
authors: A
authors: Zubair
authors: Shahid
authors: S
authors: Jamal
authors: Ambreen
authors: A
authors: Zafar
mesh_terms: D000328:Adult; D000368:Aged; D004107:Dilatation and Curettage; D016889:Endometrial Neoplasms / Q000175:diagnosis; D004717:Endometrium / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D011127:Polyps / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D014591:Uterine Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery