ABSTRACTAbnormal uterine bleeding is a major gynecological problem in our community, This cross sectional studyaimed to review the histopathological findings in endometrial biopsies of 288 patients from different agegroups who have been admitted to Al- Imamain Al-kadhimain medical city in Baghdad complained ofabnormal uterine bleedingResult:The percentages of functional causes were as follows: proliferativeendometrium 24.7%, secretory 9.4%, weakly proliferative 0.3%, menstrual endometrium 1%, atrophicendometrium 3.5%,decidual reaction 8.7%. the percentages of the organic causes were:abortion 29.9%, molarpregnancy 5.9%, endometrial polyp 5.9%,endocervical polyp 2.4%, endometritis 1%, simple (non atypical)endometrial hyperplasia5.6%, atypical endometrial hyperplasia 1.4% and one case (0.3%) was diagnosed asendometrial carcinomaKeywords: Endometrial biopsy, abnormal uterine bleeding, endometrial polyp, endometrial hyperplasia,endocervical polypHow to cite this article: Kareem NM, Mousa ET, Al-Rawaf (2020): Histopathological findings inendometrial biopsies for a sample of Iraqi women with abnormal uterine bleeding, Ann Trophttp://doi.org/10.36295/ASRO.2020.2355:. DOI335-d & Public Health; 23 (5): 329MeINTRODUCTIONAbnormal uterine bleeding is a common gynecological complaint(1) with a prolonged list oforganic orfunctional causes in different age groups (2).Itis defined as a bleeding pattern that is differentinduration,frequency, and amount from thepattern observed during a normal menstrual cycle orbleedingaftermenopause(3). An endometrial biopsy or curettageis a cost effective and safe diagnosticprocedure for endometriumsampling and evaluation in a patient presented with abnormal uterine bleeding (4).Histopathological examination of endometrial curettage can issue diagnosis for wide range of both normal and abnormal changes like hyperplasia, carcinoma, exogenous hormonal effects and infections and thushelping the gynecologist in patient management (5). The aim of this study is toreview the differenthistopathological diagnosis categories encountered in endometrial biopsies in patient with abnormal uterinebleeding and the frequency of each category.
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2019
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