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Obstet Gynecol. 1993 Nov;82(5):727-30.

The accuracy of endometrial Pipelle sampling with and without sonographic measurement of endometrial thickness.

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  • 1Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, Israel.

Abstract

OBJECTIVE:

To evaluate the accuracy of Pipelle endometrial sampling with and without sonographic measurement of endometrial thickness.

METHODS:

We studied prospectively 176 consecutive patients (23% after and 77% before menopause) scheduled for D&C. Sonographic measurement of the endometrium and endometrial biopsy with the Pipelle were performed before the curettage.

RESULTS:

In 159 cases (90%), the endometrial histologic results of curettage agreed with those of the Pipelle biopsy. All three cases of endometrial cancer were identified by Pipelle aspiration. In seven cases (4%), the Pipelle aspiration failed to detect hyperplasia. Sonographic endometrial thickness of more than 5 mm slightly increased the sensitivity and slightly decreased the specificity of Pipelle aspiration from 82 to 92% and from 99 to 96%, respectively. In postmenopausal patients admitted for bleeding, the sensitivity and specificity reached 100%.

CONCLUSIONS:

Our data suggest that normal Pipelle aspirates in premenopausal patients with abnormal uterine bleeding are highly accurate. In postmenopausal patients with sonographic endometrial thickness of 5 mm or less, the accuracy reached 100%.

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PMID:
8414316
[PubMed - indexed for MEDLINE]
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