Adding endometrial biopsy to polypectomy: is it worthwhile?

Abstract

Abstract Objective: The purpose of this study was to establish the role of adding endometrial biopsy to polypectomy in the diagnosis of intrauterine pathology. Design: The design was a retrospective study (Canadian Task Force classification II-3). Methods: The study included 133 consecutive patients who underwent hysteroscopic polypectomy with endometrial biopsy from July 1997 through June 2004 at Biocor Hospital. The local Ethics Committee approved the study protocol. Diagnostic hysteroscopy was performed before surgical procedure in all patients. Hysteroscopic diagnosis was compared against standard histopathologic criteria. Endometrial biopsy on the opposite side of the polyp was performed in all cases. Description of the morphologic appearance of the endometrium and polyps, as well as histologic diagnosis, were recorded for all patients. Sensitivity and specificity were calculated and McNemar test was used to test the value of adding biopsy to polypectomy. Results: One hundred and thirty-three polypec...