Original scientific paper
DOES ROUTINE PATHOLOGY EVALUATION OF UTERINE CONTENT FOLLOWING EVACUATION FOR ABNORMAL EARLY PREGNANCY INFLUENCE FURTHER MANAGEMENT?
SLAVICA KORDIĆ
orcid.org/0000-0003-1693-7474
; Klinička bolnica Sveti Duh, Zagreb, Hrvatska
RATKO MATIJEVIĆ
; Klinička bolnica Sveti Duh, Zagreb, Hrvatska
Abstract
The aim was to determine usefulness of routine pathologic evaluation of uterine content after uterine evacuation following the diagnosis of abnormal early pregnancy. This retrospective descriptive study performed during a one-year period included all patients diagnosed with abnormal early pregnancy clinically or by ultrasound in the fi rst trimester. All patients had uterine evacuation. During the study period, 335 women were diagnosed with abnormal early pregnancy and referred for uterine evacuation. Pathology results were available for 312 women included in the analysis. In 272 (87.2%) women, trophoblast tissue was found on examination and therefore intrauterine pregnancy was confi rmed. In the remaining 40 patients,
trophoblast was not found. In 10 (3.2%) patients, gestational trophoblastic disease was diagnosed, not being suspected on pre-evacuation assessment. In one patient, suspected molar pregnancy was excluded by pathology evaluation. Based on 51/312 (16.3 %) patients where pathology examination of uterine content infl uenced further management and treatment, we believe that routine pathology examination of uterine content after uterine evacuation in the fi rst trimester following abnormal early pregnancy is justifi able in clinical practice.
Keywords
abnormal early pregnancy; uterine evacuation; pathology evaluation
Hrčak ID:
165166
URI
Publication date:
7.9.2016.
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