Endometrial sampling prior to hysterectomy.

摘要: Many gynecologists use routine endometrial sampling prior to hysterectomy detect an unsuspected carcinoma. Gynecologists who formerly performed uterine curettage under anesthesia before now often outpatient technique. Although safe, this procedure is complicated by discomfort, cost, and the risk of infection or perforation. The purpose study was determine utility pre-hysterectomy sampling. Between 1981-1985, 619 patients undergoing had preoperative using Vabra aspiration, Novak curette, D&C. histology compared with that in specimen. There were 30 instances which failed identify either hyperplasia In two cases carcinoma, D&C method used. findings indicate these three techniques are equal their diagnostic capabilities. results confirm need for biopsy postmenopausal bleeding abnormal at age 35 years older. Our do not support hysterectomy.