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Clinical value of dilatation and curettage for abnormal uterine bleeding
Authors:T. Tabata  T. Yamawaki  M. Ida  K. Nishimura  Y. Nose  T. Yabana
Affiliation:(1) Department of Gynecology, Cancer Institute Hospital, 1-37-1, Kami-Ikebukuro, Toshima-Ku, Tokyo 170-8455, Japan e-mail: tabatat@gyn.jfcr.or.jp Tel. 03-3918-0111, Fax: 03-5394-3889, JP;(2) Department of Obstetrics and Gynecology, Yamada Red Cross Hospital, Mie, Japan, JP;(3) Department of Pathology, Yamada Red Cross Hospital, Mie, Japan, JP
Abstract:Dilatation and curettage was performed under anesthesia in outpatients in 1837 patients aged over 26 with a history of abnormal uterine bleeding not associated with pregnancy or ovulation. Fifty-one (2.8%) patients were found to have malignant disease. Of these, 47 patients had endometrial carcinoma. An additional 111 (6.0%) patients were found to have endometrial hyperplasia. The incidence of either malignant disease or endometrial hyperplasia was 9.7% in patients over the age of 40. Complications of this method were noted in 12 (0.7%) patients; only three patients needed to stay in hospital. Received: 1 February 2000 / Accepted: 19 May 2000
Keywords:  Dilatation and curettage  Endometrial biopsy  Endometrial hyperplasia  Endometrial carcinoma
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