Open AccessPrehysterectomy curettage in women with uterine fibromyomata is not worthwhile
Author(s) -
Møller Lars Mikael Alling,
Berget Arne
Publication year - 1993
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016349309021116
Subject(s) - medicine , curettage , hysterectomy , uterine fibroids , endometrial cancer , laparotomy , retrospective cohort study , surgery , gynecology , obstetrics , cancer
Objective : To study the value of prehysterectomy curettage in women referred on the suggestion of uterine fibroids. Design : A retrospective study. Setting : Gentofte Hospital, University of Copenhagen. Subjects : Four hundred and eleven patients with a curettage prior to hysterectomy on suspicion of uterine fibroids. Main outcome measure : Histological accuracy, frequency of (pre)malignancies and clinical consequences due to routine curettage. Results : Curettage disclosed two cases of endometrial cancer and four cases of ON. It missed two cases of CIN and one case of endometrial cancer in a postmenopausal women. In no case did the final histology disclose diseases that had not been taken care of during the laparotomy. Conclusion : Curettage in women with a preoperative diagnosis of uterine fibromyomata is not worthwhile.