Histopathological study of endometrial samplings

Abstract

The present study was a two-year prospective cross-sectional study done to diagnose and categorize lesions of endometrium on endometrial sampling included a total of 153 cases, of which 111 were curettage samples, and 42 were biopsy samples. Of the 153 cases, the indication for performing endome-trial sampling was AUB in 131 cases and infertility in22 cases. Primary infertility constituted 64% of all the facts of infertility.AUB was common in per-imenopausal age group, and infertility was commonly seen in 20-30 years age group and characteristic in multiparous Precursor lesions were the most widely recognized diagnosis on histopathology in23.7. In the category of reg-ular physiological pattern, 72.2% of cases were in the reproductive age group, —36.3 % cases presented with inability to conceive and clinical diagnosis of infertility. Tumour like lesions had a majority of cases (55.5%) in the peri-menopausal group. Intermenstrual bleeding was the most widely recognized symptom of presentation.All the cases of malignant lesions were in the post-menopausal age group and all cases presented with post-menopausal bleed-ing. About 80% of cases were correctly diagnosed clinically. Endometrioid endometrial carcinoma was seen in 60% cases, followed by carcinoma extend-ing from cervix in30 % cases and carcinosarcoma in 10% cases.