Endometrial sampling methods: A case report and literature review
Turkiye Klinikleri Jinekoloji Obstetrik, cilt.25, sa.1, ss.60-66, 2015 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 25 Sayı: 1
- Basım Tarihi: 2015
- Doi Numarası: 10.5336/gynobstet.2013-38550
- Dergi Adı: Turkiye Klinikleri Jinekoloji Obstetrik
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.60-66
- Anahtar Kelimeler: Leiomyosarcoma, Pathology, Uterine hemorrhage
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
The evaluation of the uterine cavity and endometrial thickness measurement via ultrasound examination are the first-line researching methods in the case of abnormal uterine bleeding. Various endometrial sampling methods have been developed for diagnosis of uterine malignancies. Pipelle aspirator is an easy, inexpensive, minimally invasive and useful outpatient procedure for diagnosis in patients with abnormal uterine bleeding. Leiomyosarcoma is an aggressive gynaecologic malignance and constitutes 13% of all uterine sarcomas. Because leiomyosarcoma originates from myometrium, it is difficult to diagnose with endometrial sampling. So, leiomyosarcoma is usually diagnosed by the examination of hysterectomy/myomectomy materials. A case of leiomyosarcoma diagnosed by Pipelle endometrial sampling in a postmenopausal woman with diabetes mellitus and hypertension was reported in this case report. Leiomyosarcoma of the uterus was diagnosed histopathologically (severe nuclear atypia, increased mitotic activity and coagulative tumour- cell necrosis). This case illustrates the importance of Pipelle endometrial sampling in the diagnosis of uterine malignancies.