![]() The accuracy of transvaginal ultrasonography in the diagnosis of endometrial abnormalities. 2009 113(2, part 1):462–464.ĭutch Society of Obstetrics and Gynaecology (NVOG) NVOG-Richtlijn Abnormaal Vaginaal Bloedverlies in de Menopauze. 426: the role of transvaginal ultrasonography in the evaluation of postmenopausal bleeding. Although it might be helpful for pathologists to have diagnostic criteria for adequacy and/or inadequacy of an endometrial biopsy sample, the gain in efficiency is likely to be small.Īmerican College of Obstetricians and Gynecologists. All other samples contained insufficient material for a reliable diagnosis.Ī structured reassessment of endometrial biopsies samples, which were classified as inconclusive due to insufficient material, did not change the conclusion. The remaining sample contained a large amount of endometrial tissue and the diagnosis at reassessment was endometrial hyperplasia without atypia. Structured reassessment of the retrieved samples by a single pathologist specialized in gynecology did not change the conclusion in 35 of the 36 samples. We retrieved 36 of 66 endometrial biopsy samples from six different pathology laboratories. The retrieved samples were systematically reassessed by a single pathologist specialized in gynecology.ĭisagreement between initial assessment and conclusion after structured reassessment. To determine whether structured assessment of outpatient endometrial biopsies decreases the number of inconclusive samples.Įndometrial biopsy samples of 66 women with postmenopausal bleeding, collected during the usual diagnostic work-up and assessed as insufficient for a reliable histological diagnosis.Įndometrial biopsy samples were requested from the pathology laboratories. 9 Department of Obstetrics and Gynecology, Academic Medical Center, Postbus 22660, 1100 DD Amsterdam, Netherlands.8 Department of Obstetrics and Gynecology, TweeSteden Hospital, Dr.7 The Robinson Research Institute, School of Paediatrics and Reproductive Health, University of Adelaide and South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.6 Department of Obstetrics and Gynecology, Erasmus MC Cancer Institute, Postbus 2040, 3000 CA Rotterdam, Netherlands.5 Clinical Research Unit, Academic Medical Center, Postbus 22660, 1100 DD Amsterdam, Netherlands.Elisabeth Hospital, HilvarenbeekseGC Tilburg, Netherlands. 3 Department of Obstetrics and Gynecology, Academic Medical Center, Postbus 22660, 1100 DD Amsterdam, Netherlands Department of Obstetrics and Gynecology, Maastricht University Medical Center, Postbus 5800, 6202 AZ Maastricht, Netherlands.2 Department of Pathology, Radboud University Medical Center, Postbus 9101, 6500 HB Nijmegen, Netherlands.1 Department of Obstetrics and Gynecology, Erasmus MC Cancer Institute, Postbus 2040, 3000 CA Rotterdam, Netherlands Department of Obstetrics and Gynecology, Albert Schweitzer Hospital, Postbus 444, 3300 AK Dordrecht, Netherlands.
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