Histopathological comprise between hysterectomy and dilatation and curettage results Abdulrazaq Alaa Abdulqader1, Zaidan Susan Abed2, Murshid Rafal Mustafa2 1Pathology Department, College of Medicine, University of Anbar, Iraq 2Department of Obstetrics and Gynecology, College of Medicine, University of Anbar, Iraq Online published on 1 November, 2018. Abstract Background endometrial sampling obtained by dilatation and curettage (DandC) is considered one of the most reliable, easy and rapid method of diagnosis of abnormal uterine bleeding (AUB) bleeding and guiding the gynecologists to the proper management. However, some cases required hysterectomy for further evaluation. Objective To assess the validity of histopathological diagnosis obtained with DandC compared to hysterectomy for the diagnosis of abnormal uterine bleeding. Patients and methods: Between September 2015 to March 2017, all women aged between 40–69 years complaining of AUB attending in Al-Yarmouk hospital were targeted in this study, Underwent DandC for the diagnosis of the cause and then hysterectomy done if there is no response to treatment or the DandC results indicates hysterectomy. Examination was done in gynecology clinic in Al-Yarmouk hospital followed by DandC. Endometrial samples were sent to the histopathological department in the hospital. Sensitivity and specificity of DandC were compared with that of hysterectomy as a gold standard to check validity of DandC. Results The total number of examined females were 138. The most common recorded age was 60–69 years (38.4%). Postmenopausal bleeding was the most common bleeding type (29%) followed by menorrhagia (20.2%) while metrorrhagia was the least of the presenting types (6%). Endometrial hyperplasia account for 38.4% of the histopathological diagnosis followed by benign histopathological changes (21.1%) while malignancy composed 12.3%. DandC was found a valid method for biopsy sampling for histopathological diagnosis of AUB when compared with that of hysterectomy. Conclusion Conventional DandC for endometrial sampling was a valid method for determining endometrial pathology in patients with AUB with a minimum sampling failure and high percent of agreement with gold standard results. Top Keywords Perimenopausal, uterine bleeding, dilatation and curettage, hysterectomy. Top |