The biopsy is obtained through the use of an endometrial suction catheter that is inserted through the cervix into the uterine cavity.Twirling the catheter while moving it in and out of the uterine cavity enhances uptake of uterine tissue, which is aspirated into the catheter and removed.Postoperative infection is rare but may be further prevented through the use of prophylactic antibiotic therapy.
Mazur, MD Clinical Professor of Pathology, State University of New York, Upstate Medical University, Syracuse, New York, and Clear Path Diagnostics, Syracuse, New York Robert J.Te Linde Distinguished Professor, Departments of Gynecology, Obstetrics and Pathology, The Johns Hopkins Hospital, and The Johns Hopkins University School of Medicine, Baltimore, Maryland Diagnosis of Endometrial Biopsies and Curettings A Practical Approach Second Edition With 230 Illustrations, 77 in Full Color Michael T.Te Linde Distinguished Professor Departments of Gynecology, Obstetrics and Pathology The Johns Hopkins Hospital and The Johns Hopkins University School of Medicine Baltimore, MD 21231 USA Library of Congress Cataloging-in-Publication Data Mazur, Michael T.It is our impression that it is precisely these areas that present most of the difﬁculties in daily practice, more so, in fact, that the diagnosis of a malignant tumor.Finally, we have tried to not only provide a reference for evaluating the morphologic details of a wide variety of lesions but also to convey to the reader the manner by which we approach the evaluation of the endometrial biopsy.
The chapter on polyps was revised to further clarify the terminology of these common lesions, as they demonstrate a wide spectrum of morphologic features.
A diagnosis of carcinoma is straightforward, but a clear and precise diagnosis of the various benign, yet abnormal pattens of endometrial development and bleeding can be a challenge.
In addition, a clear understanding of the terminology that the pathologist uses to communicate diagnostic infor-mation to the clinician is critically important.
Most importantly, however, the text continues its focus on those aspects of endometrial biopsy interpretation that can be especially vexing, such as the diagnosis of atypical hyperplasia, grading of endome-trial carcinoma, and the myriad of benign changes and artifacts that can be confusing to the pathologist.
Information about the distinc-tion of endometrial carcinoma from endocervical adenocarcinoma also was signiﬁcantly revised.
Office endometrial suction catheters are easy to use, and several have been reported to have diagnostic accuracy that is equal or superior to the dilatation and curettage (D&C) procedure.