Correlation between hysteroscopic aspects and anatomopathologic diagnosis in patients with abnormal uterine bleeding or thick endometrium, echographically described

Among 1440 hysteroscopies performed between january 1st, 1995, and october 31st, 1998, 250 patients submitted to endometrial biopsy were studied: 129 with abnormal uterine bleeding (AUB), 121 with thick endometrium (TE), diag nosed by echography. Among the patients with AUB, results were: heterogeneo us endometrium x adenocarcinoma, 4 cases: atrophic x atrophic, 16; focal he terogeneous x simple without atipy endometrial hyperplasia? 51; polyp x pol yp, 20; heterogeneous x endometritis, 7. Among the patients with TE: polyp x polyp, 30; heterogeneous polypoid endometrium x without atipy endometrial hyperplasia, 54; heterogeneous x adenocarcinoma, 1. In the other cases, in both groups, malignancy was not described. The correlation between hystero scopic aspects in the cases of AUB and the results of anatomopathologic exa ms was 62,6%; in the cases of TE, 78,6%, as quotted on litterature. Hystero scopy is a good method, orienting well endometrial biopsy, in the diagnosis of endometrial pathology.