endometrial curetting

Images

 Partial Hydatidiform Mole by Ed Authman

Indications

 Abnormal uterine bleeding

• 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.
• Abnormal uterine bleeding is one of the most frequent problems in life of an adult female.
• Common causes of abnormal uterine bleeding include chronic endometritis , endometrial polyp , endometrial hyperplasia or endometrial carcinomas .
• Abnormal uterine bleeding may be the common presenting complaint in patients with malignant endometrial lesion (endometrial carcinomas ) or premalignant endometrial lesion.
• To diagnose the true pathology, endometrial sampling is important.
• Endometrial tissue can be obtained through several tecniques like Pipelle and
  Vebra.
• Among these methods, endometrial curettage or endometrial biopsy remains a preferred sampling procedure.
• It is a comparatively economical office procedure, and modifications in sampling instrument design since the technique’s inception have reduced the distress of procedure without compromising sample efficiency.
• This technique is now considered as first line diagnostic tool because of its diagnostic accuracy, safety, quickness and convenience.

References

 Diagnosis of Endometrial Biopsies and Curettings: A Practical Approach. by Michael Mazur, Robert J. Kurman. 15 December 2004. ISBN: 0387986154

• http://www.springer.com/medicine/pathology/book/978-0-387-98615-9
• On-line textbook on Free Medical Texbook : http://medtextfree.wordpress.com/2012/02/22/diagnosis-of-endometrial-biopsies-and-curettings/