Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abnormal Endometrial Pathology in Post-Menopausal Women with Asymptomatic Thickened Endometrium: 5-year Retrospective Study in Tertiary Care Centre in South Kerala
Maitri R. Kulkarni, Benita P. Devanesan and N. S. Sreedevi
Page: 1115-1119 | Received 09 May 2023, Published online: 17 Jun 2023
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Abstract
Determine the proportion of abnormal endometrial pathology in post-menopausal women with asymptomatic thickened endometrium. Retrospective cross-sectional study-medical record based- 2016 to 2020. From viewing previous medical records of all patients who have undergone dilatation and curettage for asymptomatic thickened endometrium. Proportion of abnormal endometrial pathology among post-menopausal women with asymptomatic thickened endometrium. The data was documented in Microsoft excel spreadsheet and analysed, which is presented as frequency and percentages for categorical data and descriptive statistics for continuous data. Proportion of abnormal endometrial pathology among post-menopausal women with asymptomatic thickened endometrium is presented as percentages with 95% confidence interval. Association between abnormal pathology and characteristics of participants are measured in terms of ODDS ratio with 95% confidence interval and tested for significance using Chi-square/Fisher’s exact tests. Logistic Regression Analysis is also used for those which are found significant in the bivariate analysis. In the study period there were totally 68 post-menopausal women who underwent Dilatation and curettage for incidentally detected thickened endometrium. The women were grouped in 2 categories depending on the measurement of endometrial thickness, as less than 10mm, or more than 10mm. Of these 68 samples, 35.3% samples were reported to be insufficient, around 32% only were reported to be abnormal. The incidence of Ca endometrium was found to be 4.4%, all of them had ET more than 10 mm. Moreover, the percentage of abnormal smears in women with ET between 5-10 mm was less as compared to women with ET more than 10 mm, also it was seen that the probability of obtaining insufficient samples was more when ET was less than 10 mm (38.7%), as compared to 5.2% in ET more than 10 mm. This study further supports the idea that the indications for endometrial biopsy in women presenting with post-menopausal bleeding with thickened ET cannot be extrapolated to women without bleeding, also calls for the need to revise the cut-off values for performing the endometrial biopsy in post-menopausal women with incidentally detected of thickened ET.
How to cite this article:
Maitri R. Kulkarni, Benita P. Devanesan and N. S. Sreedevi. Abnormal Endometrial Pathology in Post-Menopausal Women with Asymptomatic Thickened Endometrium: 5-year Retrospective Study in Tertiary Care Centre in South Kerala.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.1115.1119
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.1115.1119