TY - JOUR T1 - The comparison of two endometrial biopsy techniques in detection of endometrial pathologies TT - Endometrial patolojilerin araştırılmasında iki endometrial biyopsi tekniğinin araştırılması AU - Bodur, Serkan AU - Pehlivan, Hüseyin AU - Güler, Askın Evren AU - Çakmak, Bülent AU - Atasever, Melahat AU - Kıncı, Mehmet Ferdi AU - Yenen, Müfit Cemal PY - 2019 DA - April Y2 - 2018 DO - 10.33713/egetbd.458304 JF - Ege Tıp Bilimleri Dergisi JO - AEGEAN J MED SCI PB - Uşak Cerrahi Derneği WT - DergiPark SN - 2636-851X SP - 26 EP - 30 VL - 2 IS - 1 LA - en AB - Objective: The purposeof this study is to compare the diagnostic performance of hysteroscopicendometrial biopsy (H/S) and probe curettage (P/C) in the diagnosis ofendometrial pathologies. Material andMethods: Our study was conducted at a tertiary obstetrics andgynecology clinic between December 2010 and July 2011. In our prospectivestudy, histopathological results of both biopsies with H/S and P/C applied to83 patients admitted to our clinic for evaluation of endometrium, were examinedand compared with combine procedure (H/S and P/C). Results: Histopathological results were asfollows: endometrial polyps (48%), endometrial hyperplasia (13.2%), submucousmyoma (4.8%), endometrial cancer (4.8%), and normal endometrial tissue (28.9%). Sensitivity values of biopsy with H/S versusbiopsy with P/C for the endometrial polyp, submucous myoma, endometrialhyperplasia and endometrial cancer were found as 97.5% vs. %54,6, 100% vs.%25 ,75% vs. %100 and 63.6% vs. %100, respectively. Conclusion: H/S was apparentlysuperior to P/C in diagnosis of focal lesions such as endometrial polyps andsubmucous myoma. We determined none of the interventions to be statisticallysuperior to the other in diagnosis of diffuse lesions such as endometrialhyperplasia and endometrial cancer. KW - Endometrial pathology KW - hysteroscopy KW - probe currettage N2 - Amaç: Bu çalışmanın amacı, endometriyal patolojilerin tanısında histeroskopikendometriyal biyopsi (H / S) ve prob kürtajının (P / C) tanısal performansınıkarşılaştırmaktır.Gereç ve Yöntemler: Çalışmamız Aralık 2010-Temmuz 2011 tarihleri​​arasında üçüncü basamak doğum ve jinekoloji kliniğinde yapıldı. Prospektifçalışmalarımızda, değerlendirmeler için kliniğimize başvuran 83 hastaya H / Sve P / C biyopsilerinin histopatolojik sonuçları Endometriyum incelendi vekombine prosedürle (H / S ve P / C) karşılaştırıldı.Bulgular: Histopatolojik sonuçlar; endometriyal polipler (% 48),endometrial hiperplazi (% 13.2), submukoz myoma (% 4.8), endometrial kanser (%4.8) ve normal endometriyal doku (% 28.9) idi. Endometriyal polip, submüközmyom, endometriyal hiperplazi ve endometriyal kanser için H / S biyopsisi ilebiyopsi ve biyopsi ile biyopsi duyarlılık değerleri% 97.5 vs% 54,6,% 100 vs%25,% 75 olarak bulundu. Sırasıyla% 100 ve% 63.6 ve% 100.Sonuç: H / S, endometriyal polip ve submüköz myoma gibi fokal lezyonların tanısındaP / C'den daha üstündür. Endometriyal hiperplazi ve endometriyal kanser gibiyaygın lezyonların teşhisi için hiçbir müdahalenin diğerinden istatistikselolarak üstün olmadığını saptadık. CR - 1. Lessey BA, Killam AP,Metzger DA. Immunohistochemical analysis of human uterine estrogen and progesterone receptors throughout the menstrual cycle. J Clin Endocrinol Metab 1998;67:334-9.2. Fleischer AC, Gordon AN, Entman SS, et al: Transvaginal Scanning of the Endometriyum: Current and Potential Clinical Applications. In Fleischer AC, Romero R, Manning F (Eds): The Principles and Practice of Ultrasonography in Obstetrics and Gynecology. Norwalk, CT, Appleton and Lange, 1991.3. Marret H, Fauconnier A, Chabbert-Buffet N, Cravello L. Clinical practice guidelines on menoorhagia: management of abnormal uterine bleeding before menopause Eur J Obstet Gynecol Reprod Biol 2010;152:133-7.4. 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Evaluation of the endometriyal cavity during menopause. Int J Gynaecol Obstet 1996;52:61-6. 17. Madan SM, Al-Jufairi ZA. Abnormal uterine bleeding. Diagnostic value of hysteroscopy. Saudi Med J 2001;22:153-6. 18. Svirsky R, Smorgick N, Rozowsky U, Sagiv R. Can we rely on blind endometrial biopsy for detection of focal intrauterine pathology? Am J Obstet Gynecol 2008;199:1-3. UR - https://doi.org/10.33713/egetbd.458304 L1 - http://dergipark.org.tr/tr/download/article-file/667450 ER -