PMB and thin endometrium Ragupathy K Ridout A Cawley N Iqbal P Alloub M Department of Obstetrics amp Gynaecology Doncaster Royal Infirmary Introduction 110 of females ID: 441002
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Skating on thin ice…..PMB and thin endometrium
Ragupathy K, Ridout A*, Cawley N, Iqbal P, Alloub MDepartment of Obstetrics & Gynaecology, Doncaster Royal Infirmary
Introduction1-10% of females presenting with PMB will have endometrial cancerRisk is reduced by a factor of 10 if endometrial thickness is «4mmOur aimsIs endometrial sampling feasible in women presenting with PMB assessed to have thin endometrium?What is the incidence of endometrial carcinoma in this cohort of women?
I: Present with PMB
II: TV ultrasound assessment
III: Endometrial sampling
Result 671 women attended RAC with PMB166/671 found to have «4mm endometrial thickness 112 women underwent endometrial sampling (washings or biopsy) 72 women (64%) had adequate samples No cases of hyperplasia or malignancy were reported
Conclusions In women presenting with PMB and assessed to have thin endometrium, washings are a more reliable method sampling than endometrial biopsy. In this group, all adequate histology was reported as benign; a reassuring statistic when counselling women in gynaecology rapid access clinic.
Endometrial sampling method
Washings
Biopsy% adequate sample7755% maligant pathology00
* Poster presenter
Method
:
Study
included all women presenting with PMB to the rapid access clinic Retrospective data collection between Sep 2007 and Dec 2010Assessment of ultrasound findings, adequacy of endometrial assessment and final histology
Current Management