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Fertil Steril. 2001 Apr;75(4):803-5.

Diagnostic inadequacy of dilatation and curettage.

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1
Second Institute of Obstetrics and Gynecology, University of Bari, Bari, Italy. stefanoendo@tin.it

Abstract

OBJECTIVE:

To assess the diagnostic inadequacy of dilatation and curettage (D&C) by comparing histologic findings with this technique with those obtained after hysterectomy.

DESIGN:

Retrospective clinical study.

SETTING:

University-affiliated hospital.

PATIENT(S):

Three hundred ninety-seven patients with abnormal uterine bleeding who underwent D&C and, within 2 months, hysterectomy because of histologic findings or persistence of symptoms.

MAIN OUTCOME MEASURE(S):

Comparison of histologic findings on D&C with those obtained after hysterectomy.

RESULT(S):

In 248 of 397 patients (62.5%), D&C failed to detect intrauterine disorders subsequently found at hysterectomy; the sensitivity was 46%, the specificity was 100.0%, the positive predictive value was 100.0%, and the negative predictive value was 7.1%.

CONCLUSION(S):

Dilatation and curettage is an inadequate diagnostic and therapeutic tool for all uterine disorders; this technique missed 62.5% of major intrauterine disorders, and all endometrial disorders were still present in the removed uterus.

PMID:
11287038
[Indexed for MEDLINE]
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