Establishing patterns on hysteroscopy in abnormal uterine bleeding (AUB)

Deeksha Pandey, Srividya Kunamneni, Pranadeep Reddy Inukollu, Hsuan Su

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction Pattern recognition of various phases of normal endometrium and endometrial pathologies during hysteroscopy has many advantages. It would help to triage women with AUB, so as to be selective with biopsies and curettages. Recognition of normal variant or benign lesion would reduce burden to the pathologist by decreasing the number of unnecessary sampling. It will also decreases anxiety of the patient as the report/prognostication can be instant in many cases. Material and methods This prospective, double blind, correlation study was carried out in the teaching hospital with a sample population of 70 women presenting with AUB who underwent hysteroscopy and endometrial sampling. We identified patterns of endometrium which can used to predict six endometrial pathologies which were later correlated with the final histological diagnosis. Results There was good correlation between hysteroscopic patterns and histopathology report, 33% of starry sky appearance correlated with atrophic endometrium, 87% of tongue shaped projections correlated with endometrial polyp, 44.4% of pebble stone appearance correlated with myomatous polyp, 50% of polypoidal pattern correlated with endometrial hyperplasia. 100% correlation was seen in strawberry appearance, pattern for secretory endometrium and cerebroid appearance which was pattern designated to endometrial carcinoma. Conclusion Hysteroscopic pattern recognition is a useful concept to triage women who require sampling for histopathological diagnosis.

Original languageEnglish
Pages (from-to)178-182
Number of pages5
JournalGynecology and Minimally Invasive Therapy
Volume6
Issue number4
DOIs
Publication statusPublished - 01-11-2017

Fingerprint

Hysteroscopy
Uterine Hemorrhage
Endometrium
Triage
Polyps
Pathology
Endometrial Hyperplasia
Fragaria
Curettage
Endometrial Neoplasms
Tongue
Double-Blind Method
Teaching Hospitals
Anxiety
Biopsy
Population

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

Cite this

Pandey, Deeksha ; Kunamneni, Srividya ; Inukollu, Pranadeep Reddy ; Su, Hsuan. / Establishing patterns on hysteroscopy in abnormal uterine bleeding (AUB). In: Gynecology and Minimally Invasive Therapy. 2017 ; Vol. 6, No. 4. pp. 178-182.
@article{d66f6648110e4785a694478fde5bcf9d,
title = "Establishing patterns on hysteroscopy in abnormal uterine bleeding (AUB)",
abstract = "Introduction Pattern recognition of various phases of normal endometrium and endometrial pathologies during hysteroscopy has many advantages. It would help to triage women with AUB, so as to be selective with biopsies and curettages. Recognition of normal variant or benign lesion would reduce burden to the pathologist by decreasing the number of unnecessary sampling. It will also decreases anxiety of the patient as the report/prognostication can be instant in many cases. Material and methods This prospective, double blind, correlation study was carried out in the teaching hospital with a sample population of 70 women presenting with AUB who underwent hysteroscopy and endometrial sampling. We identified patterns of endometrium which can used to predict six endometrial pathologies which were later correlated with the final histological diagnosis. Results There was good correlation between hysteroscopic patterns and histopathology report, 33{\%} of starry sky appearance correlated with atrophic endometrium, 87{\%} of tongue shaped projections correlated with endometrial polyp, 44.4{\%} of pebble stone appearance correlated with myomatous polyp, 50{\%} of polypoidal pattern correlated with endometrial hyperplasia. 100{\%} correlation was seen in strawberry appearance, pattern for secretory endometrium and cerebroid appearance which was pattern designated to endometrial carcinoma. Conclusion Hysteroscopic pattern recognition is a useful concept to triage women who require sampling for histopathological diagnosis.",
author = "Deeksha Pandey and Srividya Kunamneni and Inukollu, {Pranadeep Reddy} and Hsuan Su",
year = "2017",
month = "11",
day = "1",
doi = "10.1016/j.gmit.2017.08.001",
language = "English",
volume = "6",
pages = "178--182",
journal = "Gynecology and Minimally Invasive Therapy",
issn = "2213-3070",
publisher = "Elsevier Taiwan LLC",
number = "4",

}

Establishing patterns on hysteroscopy in abnormal uterine bleeding (AUB). / Pandey, Deeksha; Kunamneni, Srividya; Inukollu, Pranadeep Reddy; Su, Hsuan.

In: Gynecology and Minimally Invasive Therapy, Vol. 6, No. 4, 01.11.2017, p. 178-182.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Establishing patterns on hysteroscopy in abnormal uterine bleeding (AUB)

AU - Pandey, Deeksha

AU - Kunamneni, Srividya

AU - Inukollu, Pranadeep Reddy

AU - Su, Hsuan

PY - 2017/11/1

Y1 - 2017/11/1

N2 - Introduction Pattern recognition of various phases of normal endometrium and endometrial pathologies during hysteroscopy has many advantages. It would help to triage women with AUB, so as to be selective with biopsies and curettages. Recognition of normal variant or benign lesion would reduce burden to the pathologist by decreasing the number of unnecessary sampling. It will also decreases anxiety of the patient as the report/prognostication can be instant in many cases. Material and methods This prospective, double blind, correlation study was carried out in the teaching hospital with a sample population of 70 women presenting with AUB who underwent hysteroscopy and endometrial sampling. We identified patterns of endometrium which can used to predict six endometrial pathologies which were later correlated with the final histological diagnosis. Results There was good correlation between hysteroscopic patterns and histopathology report, 33% of starry sky appearance correlated with atrophic endometrium, 87% of tongue shaped projections correlated with endometrial polyp, 44.4% of pebble stone appearance correlated with myomatous polyp, 50% of polypoidal pattern correlated with endometrial hyperplasia. 100% correlation was seen in strawberry appearance, pattern for secretory endometrium and cerebroid appearance which was pattern designated to endometrial carcinoma. Conclusion Hysteroscopic pattern recognition is a useful concept to triage women who require sampling for histopathological diagnosis.

AB - Introduction Pattern recognition of various phases of normal endometrium and endometrial pathologies during hysteroscopy has many advantages. It would help to triage women with AUB, so as to be selective with biopsies and curettages. Recognition of normal variant or benign lesion would reduce burden to the pathologist by decreasing the number of unnecessary sampling. It will also decreases anxiety of the patient as the report/prognostication can be instant in many cases. Material and methods This prospective, double blind, correlation study was carried out in the teaching hospital with a sample population of 70 women presenting with AUB who underwent hysteroscopy and endometrial sampling. We identified patterns of endometrium which can used to predict six endometrial pathologies which were later correlated with the final histological diagnosis. Results There was good correlation between hysteroscopic patterns and histopathology report, 33% of starry sky appearance correlated with atrophic endometrium, 87% of tongue shaped projections correlated with endometrial polyp, 44.4% of pebble stone appearance correlated with myomatous polyp, 50% of polypoidal pattern correlated with endometrial hyperplasia. 100% correlation was seen in strawberry appearance, pattern for secretory endometrium and cerebroid appearance which was pattern designated to endometrial carcinoma. Conclusion Hysteroscopic pattern recognition is a useful concept to triage women who require sampling for histopathological diagnosis.

UR - http://www.scopus.com/inward/record.url?scp=85028433209&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85028433209&partnerID=8YFLogxK

U2 - 10.1016/j.gmit.2017.08.001

DO - 10.1016/j.gmit.2017.08.001

M3 - Article

VL - 6

SP - 178

EP - 182

JO - Gynecology and Minimally Invasive Therapy

JF - Gynecology and Minimally Invasive Therapy

SN - 2213-3070

IS - 4

ER -