The Incidence and Management of Failed Pipelle Sampling in a General Outpatient Clinic
A prospective audit was performed on 100 consecutive patients who underwent Pipelle endometrial sampling in a general outpatient clinic setting. The indications for sampling were abnormal menstrual bleeding (AMB, 65), intermenstrual or postcoital bleeding (IMB/PCB, 7), postmenopausal bleeding (PMB,...
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| Veröffentlicht in: | Australian & New Zealand journal of obstetrics & gynaecology 1999-02, Vol.39 (1), p.115-118 |
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| container_title | Australian & New Zealand journal of obstetrics & gynaecology |
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| creator | Gordon, S.J. Westgate, J. |
| description | A prospective audit was performed on 100 consecutive patients who underwent Pipelle endometrial sampling in a general outpatient clinic setting. The indications for sampling were abnormal menstrual bleeding (AMB, 65), intermenstrual or postcoital bleeding (IMB/PCB, 7), postmenopausal bleeding (PMB, 28). An insufficient sample was obtained in 33 women: (AMB 14, 21.5%); IMB/PCB, (0); PMB 19, 68%). In 3 women the Pipelle was unable to be introduced through the cervix; in the remainder an insufficient sample for histological diagnosis was obtained. Registrars and resident doctors were more likely to sample insufficiently. In the AMB group all but 1 woman with an insufficient sample had further investigations or treatment but 7 of 19 (37%) of PMB patients had no further investigations. Where definitive histology was available, endometrial polyps or submucous fibroids were found in half of the cases with an inadequate Pipelle sample. Pipelle sampling detected only 1 of the 2 cases of endometrial cancer in this study. |
| doi_str_mv | 10.1111/j.1479-828X.1999.tb03460.x |
| format | Article |
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The indications for sampling were abnormal menstrual bleeding (AMB, 65), intermenstrual or postcoital bleeding (IMB/PCB, 7), postmenopausal bleeding (PMB, 28). An insufficient sample was obtained in 33 women: (AMB 14, 21.5%); IMB/PCB, (0); PMB 19, 68%). In 3 women the Pipelle was unable to be introduced through the cervix; in the remainder an insufficient sample for histological diagnosis was obtained. Registrars and resident doctors were more likely to sample insufficiently. In the AMB group all but 1 woman with an insufficient sample had further investigations or treatment but 7 of 19 (37%) of PMB patients had no further investigations. Where definitive histology was available, endometrial polyps or submucous fibroids were found in half of the cases with an inadequate Pipelle sample. Pipelle sampling detected only 1 of the 2 cases of endometrial cancer in this study.</description><identifier>ISSN: 0004-8666</identifier><identifier>EISSN: 1479-828X</identifier><identifier>DOI: 10.1111/j.1479-828X.1999.tb03460.x</identifier><identifier>PMID: 10099766</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Ambulatory Care Facilities ; Endometrial Neoplasms - complications ; Endometrial Neoplasms - diagnostic imaging ; Endometrial Neoplasms - pathology ; Female ; Humans ; Medical Audit ; Middle Aged ; Patient Selection ; Prospective Studies ; Reproducibility of Results ; Specimen Handling - instrumentation ; Specimen Handling - methods ; Specimen Handling - standards ; Ultrasonography ; Uterine Hemorrhage - etiology</subject><ispartof>Australian & New Zealand journal of obstetrics & gynaecology, 1999-02, Vol.39 (1), p.115-118</ispartof><rights>1999 Royal Australian and New Zealand College of Obstetricians and Gynaecologists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4085-fcc2ce4edc059b40e9b629e79408fa1c27f03e17b448661fe5a2278fd6c166b03</citedby><cites>FETCH-LOGICAL-c4085-fcc2ce4edc059b40e9b629e79408fa1c27f03e17b448661fe5a2278fd6c166b03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1479-828X.1999.tb03460.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1479-828X.1999.tb03460.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10099766$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gordon, S.J.</creatorcontrib><creatorcontrib>Westgate, J.</creatorcontrib><title>The Incidence and Management of Failed Pipelle Sampling in a General Outpatient Clinic</title><title>Australian & New Zealand journal of obstetrics & gynaecology</title><addtitle>Aust N Z J Obstet Gynaecol</addtitle><description>A prospective audit was performed on 100 consecutive patients who underwent Pipelle endometrial sampling in a general outpatient clinic setting. The indications for sampling were abnormal menstrual bleeding (AMB, 65), intermenstrual or postcoital bleeding (IMB/PCB, 7), postmenopausal bleeding (PMB, 28). An insufficient sample was obtained in 33 women: (AMB 14, 21.5%); IMB/PCB, (0); PMB 19, 68%). In 3 women the Pipelle was unable to be introduced through the cervix; in the remainder an insufficient sample for histological diagnosis was obtained. Registrars and resident doctors were more likely to sample insufficiently. In the AMB group all but 1 woman with an insufficient sample had further investigations or treatment but 7 of 19 (37%) of PMB patients had no further investigations. Where definitive histology was available, endometrial polyps or submucous fibroids were found in half of the cases with an inadequate Pipelle sample. Pipelle sampling detected only 1 of the 2 cases of endometrial cancer in this study.</description><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory Care Facilities</subject><subject>Endometrial Neoplasms - complications</subject><subject>Endometrial Neoplasms - diagnostic imaging</subject><subject>Endometrial Neoplasms - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Medical Audit</subject><subject>Middle Aged</subject><subject>Patient Selection</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>Specimen Handling - instrumentation</subject><subject>Specimen Handling - methods</subject><subject>Specimen Handling - standards</subject><subject>Ultrasonography</subject><subject>Uterine Hemorrhage - etiology</subject><issn>0004-8666</issn><issn>1479-828X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkMtO4zAUhi0EgtLhFZDFgl2CnTpOPAskpkMLCKYjTbloNpbjnIBL4oY4Fe3b4ygVYsvZePFfjs-H0AklIfVztggpS0SQRulTSIUQYZuREeMkXO-gwae0iwaEEBaknPMDdOjcghAqYsr20QElRIiE8wF6mL8Avrba5GA1YGVzfKeseoYKbIuXBZ4oU0KO_5oayhLwP1XVpbHP2Fis8BQsNKrEs1Vbq9Z0kbFXjf6B9gpVOjjavkN0P7mcj6-C29n0enxxG2hG0jgotI40MMg1iUXGCIiMRwIS4dVCUR0lBRkBTTLG_Bm0gFhFUZIWOdeUc3_1EJ32vXWzfFuBa2VlnPY_VRaWKye54JykUWf82Rt1s3SugULWjalUs5GUyI6qXMgOnezQyY6q3FKVax8-3m5ZZRXkX6I9Rm847w3vHtbmG9Xy4mZGaewLgr7AuBbWnwWqeZU8GSWxfPwzlfz_ZCJ-3_2SYvQBojWWpg</recordid><startdate>199902</startdate><enddate>199902</enddate><creator>Gordon, S.J.</creator><creator>Westgate, J.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199902</creationdate><title>The Incidence and Management of Failed Pipelle Sampling in a General Outpatient Clinic</title><author>Gordon, S.J. ; Westgate, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4085-fcc2ce4edc059b40e9b629e79408fa1c27f03e17b448661fe5a2278fd6c166b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Ambulatory Care Facilities</topic><topic>Endometrial Neoplasms - complications</topic><topic>Endometrial Neoplasms - diagnostic imaging</topic><topic>Endometrial Neoplasms - pathology</topic><topic>Female</topic><topic>Humans</topic><topic>Medical Audit</topic><topic>Middle Aged</topic><topic>Patient Selection</topic><topic>Prospective Studies</topic><topic>Reproducibility of Results</topic><topic>Specimen Handling - instrumentation</topic><topic>Specimen Handling - methods</topic><topic>Specimen Handling - standards</topic><topic>Ultrasonography</topic><topic>Uterine Hemorrhage - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gordon, S.J.</creatorcontrib><creatorcontrib>Westgate, J.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australian & New Zealand journal of obstetrics & gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gordon, S.J.</au><au>Westgate, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Incidence and Management of Failed Pipelle Sampling in a General Outpatient Clinic</atitle><jtitle>Australian & New Zealand journal of obstetrics & gynaecology</jtitle><addtitle>Aust N Z J Obstet Gynaecol</addtitle><date>1999-02</date><risdate>1999</risdate><volume>39</volume><issue>1</issue><spage>115</spage><epage>118</epage><pages>115-118</pages><issn>0004-8666</issn><eissn>1479-828X</eissn><abstract>A prospective audit was performed on 100 consecutive patients who underwent Pipelle endometrial sampling in a general outpatient clinic setting. The indications for sampling were abnormal menstrual bleeding (AMB, 65), intermenstrual or postcoital bleeding (IMB/PCB, 7), postmenopausal bleeding (PMB, 28). An insufficient sample was obtained in 33 women: (AMB 14, 21.5%); IMB/PCB, (0); PMB 19, 68%). In 3 women the Pipelle was unable to be introduced through the cervix; in the remainder an insufficient sample for histological diagnosis was obtained. Registrars and resident doctors were more likely to sample insufficiently. In the AMB group all but 1 woman with an insufficient sample had further investigations or treatment but 7 of 19 (37%) of PMB patients had no further investigations. Where definitive histology was available, endometrial polyps or submucous fibroids were found in half of the cases with an inadequate Pipelle sample. Pipelle sampling detected only 1 of the 2 cases of endometrial cancer in this study.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>10099766</pmid><doi>10.1111/j.1479-828X.1999.tb03460.x</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0004-8666 |
| ispartof | Australian & New Zealand journal of obstetrics & gynaecology, 1999-02, Vol.39 (1), p.115-118 |
| issn | 0004-8666 1479-828X |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Ambulatory Care Facilities Endometrial Neoplasms - complications Endometrial Neoplasms - diagnostic imaging Endometrial Neoplasms - pathology Female Humans Medical Audit Middle Aged Patient Selection Prospective Studies Reproducibility of Results Specimen Handling - instrumentation Specimen Handling - methods Specimen Handling - standards Ultrasonography Uterine Hemorrhage - etiology |
| title | The Incidence and Management of Failed Pipelle Sampling in a General Outpatient Clinic |
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