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vol.73 número2NUEVO SISTEMA DE MEDICIÓN URODINÁMICA EN LA EVALUACIÓN DE LA INCONTINENCIA URINARIA FEMENINA: EXPERIENCIA PRELIMINAR CON URODINAMIA MONOCANAL CON MEDICIÓN DE PRESIÓN DE RETRO-RESISTENCIA URETRAL¿POR QUÉ LAS MUJERES NO SE TOMAN EL PAPANICOLAU?: BARRERAS PERCIBIDAS POR UN GRUPO DE MUJERES INGRESADAS AL PROGRAMA DE CÁNCER CERVICOUTERINO AUGE índice de autoresíndice de materiabúsqueda de artículos
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Revista chilena de obstetricia y ginecología

versión impresa ISSN 0048-766Xversión On-line ISSN 0717-7526

Resumen

BARRERO P, Raúl et al. CORRELACIÓN ANATOMOPATOLÓGICA DE LAS HIPERPLASIAS ENDOMETRIALES ANTES Y DESPUÉS DE LA HISTERECTOMÍA. Rev. chil. obstet. ginecol. [online]. 2008, vol.73, n.2, pp.91-97. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262008000200004.

Objective: To evalúate the hystopathologic correlation between curettage and hysterectomy specimens in patients with endometrial hyperplasia. Methods: 90 patients were diagnosed with endometrial hyperplasia in curettage specimens between January 2001 and December 2005. Of these patients 46 were found to have atypical hyperplasia (group 1) and 44 hyperplasia without atypias (group 2). All the patients in group 1 had a total hysterectomy plus bilateral anexectomy; 28 patients of group 2 had the same surgery because of associate gynecological pathology. Curettage and hysterectomy specimens of 74 patients were compared and evaluated the concordance between them. Results: Of hysterectomy specimens in group 1, 31 cases had atypical hyperplasia (67.4%), 13 cases (28.3%) hyperplasia without atypias and 2 cases (4.3%) with endometrial carcinoma. In group 2, 16 cases (57.1%) of hyperplasia without atypias, 10 cases (35.7%) with normal endometrium and 2 (7.1%) cases of atypical hyperplasia were found. The agreement of the hysto-pathological diagnosis of endometrial hyperplasia between both biopsies was 63% (p=0.000) and it was significantly lower in the subgroup of patients that had atypias on the curettage biopsy with respect to the patients with hyperplasia with no atypias (p=0.028). The likehood ratio of the biopsy by curettage of patients with atypias was of 33.2. Conclusión: The accuracy of the curettage biopsies as compared with hysterectomy specimens in patients with endometrial hyperplasia was acceptable, supporting its usefulness in the management of these patients.

Palabras clave : Endometrial hyperplasia; hysterectomy; biopsy.

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