Evolution and Advances in Endometrial Sampling

doi:10.12280/gjfckx.20230697

Abstract

Abstract:

Endometrial lesions are common and prevalent gynecological diseases. Endometrial histopathology is the 'gold standard' for diagnosis, the traditional method of endometrial sampling is dilatation and curettage, which is a blind procedure that can causes missed diagnosis and severe pain. Other methods of endometrial sampling include endometrial tissue sampler, endometrial cytology sampler, microscale endometrial sampler and hysteroscopic-guided biopsy, etc. These various methods of endometrial sampling are commonly used to diagnose abnormal uterine bleeding or chronic endometritis, and some can be used for screening endometrial cancer. Endometrial tissue sampler and microscale endometrial sampler are suitable for screening lesions, but not for patients with focal lesions and atrophy endometrium. Endometrial cytology sampler is also used for screening lesions, especially for patients with atrophy endometrium, but cytology has no diagnostic value. Hysteroscopic-guided biopsy can diagnose focal lesions and is the 'gold standard' in endometrial sampling, but is not used for screening. The appropriate methods of endometrial sampling should be used for different kinds of condition.

Key words: Endometrium, Endometrial neoplasms, Endometrial hyperplasia, Endometritis, Uterine hemorrhage, Biopsy, Dilatation and curettage, Hysteroscopy

LI Ying-tao, HUANG Xiao-wu. Evolution and Advances in Endometrial Sampling[J]. Journal of International Obstetrics and Gynecology, 2024, 51(1): 105-109.

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