DOI: 10.36347/sjams.2018.v06i02.063

Pages: 793-796

Endometrium remains the most sensitive indicator of ovarian function and endometrial biopsy is one of the diagnostic procedures in endometrial pathology. The current study was carried out to examine the morphological pattern of endometrial biopsies and find the Correlation between Endometrial Biopsy Histology with Post hysterectomy Histopathology. This retrospective study was conducted in OBG Department, SUIMS, Shimoga. Histopathology reports of 144 patients who underwent endometrial biopsy(which included both D&C and endocoele) between june 2013 to August 2017 were analyzed to study the morphological pattern..Pre-operative and post-operative histopathology reports of 38 patients who underwent hysterectomy subsequently were compared to know the concordance rate. Out of 144patients who underwent endometrial biopsy, average age group of patient was 36 years, common finding was simple hyperplasia without atypia(43%), normal endometrium(23%), complex hyperplasia without atypia(7%), complex hyperplasia with atypia(3%), endometrial polyp(0.5%), endometrial carcinoma(0.4%). Concordance rate between endometrial biopsy and hysterectomy histopathology was 78.9%. No coexisting malignancy was reported in cases of atypical endometrial hyperplasia. Concomitantly 2 had endometrial polyps, 5 had leiomyoma, 2 had adenomyosis, detected only after hysterectomy. Endometrial biopsy has good sensitivity in diagnosis of endometrial pathology in women with AUB and pre-operative endometrial histology (both D&C and endocoel) correlates well with hysterectomy histopathology.