Original Research Article
Year: 2019 | Month: July-September | Volume: 4 | Issue: 3 | Pages: 146-149
Evaluation of Thickened Endometrium in Asymptomatic Post Menopausal Women
Poonam Sharma1, Sonika Gupta2, Manik Mahajan3
1Lecturer, Department of Pathology, Government Medical College, Jammu
2Consultant Gynaecologist, District Hospital, Udhampur, Jammu
3Lecturer, Department of Radio-Diagnosis, Government Medical College, Jammu
Corresponding Author: Manik Mahajan
ABSTRACT
Objectives: To determine the significance of endometrial sampling and histopathology in asymptomatic postmenopausal women with endometrial thickness >5mm
Material and Methods: Fifty asymptomatic postmenopausal women with incidentally discovered endometrial thickness >5mm on ultrasonography for other reasons were included in the study. All the patients underwent endometrial sampling by curetting and sent for histopathological evaluation.
Results: Normal histological endometrium was seen in 33 (66.0%) cases. Abnormal endometrial pathology was seen in 17 (34%) cases; simple hyperplasia in 10 (20%) cases and complex hyperplasia in 5 (10.0%) cases. 2 cases of endometrial carcinoma (4%) were also seen and both had endometrial thickness above 11 mm.
Conclusions: Histopathological examination should always be performed in asymptomatic post menopausal women with thickened endometrium as it is associated with malignancy in a significant proportion of cases. Also endometrial thickness cut off value of 11mm on USG had a high predictive value for endometrial carcinoma.
Key words: Histopathology; Endometrium; Postmenopausal; Ultrasonography