Publication: Endocervical histopathology specimen adequacy in fractional curettage
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Issued Date
2019-08-01
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ISSN
01252208
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2-s2.0-85072023153
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.102, No.8 (2019), 869-873
Suggested Citation
P. Chongcharoen, O. Chinthakanan Endocervical histopathology specimen adequacy in fractional curettage. Journal of the Medical Association of Thailand. Vol.102, No.8 (2019), 869-873. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/51478
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Title
Endocervical histopathology specimen adequacy in fractional curettage
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Abstract
© JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND. Objective: To evaluate the adequacy of endocervical histopathology specimen from fractional curettage (FC) and impact of clinical factors. Materials and Methods: A retrospective descriptive study involving women underwent FCs gathering normal cervical cytology in Ramathibodi Hospital between January 2012 and December 2016. Results: Three hundred eighty-seven participants underwent FC. The indications of FC were 58.4% pre-menopausal abnormal uterine bleeding, 31% post-menopausal bleeding, 10.6% other indications. The overall adequacy of endocervical specimens obtained by endocervical curettage (ECC) was 45.5%, which was higher in pre-menopausal group [48.0% pre-menopause versus 40.9% post-menopause, OR 0.74 (95% CI 0.49 to 1.14)]. There were no statistically significant differences in adequacy of ECC specimens with respect to baseline characteristics. Pathological report of one patient indicated malignancy from both endometrial tissue and ECC (0.2%). The complications rate was 1.3% from procedure and anesthetic complication. Conclusion: ECC provided 45.5% adequacy in women with normal cervical cytology. There was no identified clinical risk factor regarding adequate endocervical specimens.