{"title":"[Does Routine Pathology Evaluation of Uterine Content Following Evacuation for Abnormal Early Pregnancy Influence Further Management?]","authors":"S Kordić, R Matijević","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>The aim was to determine usefulness of routine pathologic evaluation of uterine content after uterine evacuation following\nthe diagnosis of abnormal early pregnancy. This retrospective descriptive study performed during a one-year period included\nall patients diagnosed with abnormal early pregnancy clinically or by ultrasound in the first trimester. All patients had uterine\nevacuation. During the study period, 335 women were diagnosed with abnormal early pregnancy and referred for uterine\nevacuation. Pathology results were available for 312 women included in the analysis. In 272 (87.2%) women, trophoblast\ntissue was found on examination and therefore intrauterine pregnancy was confirmed. In the remaining 40 patients,\ntrophoblast was not found. In 10 (3.2%) patients, gestational trophoblastic disease was diagnosed, not being suspected\non pre-evacuation assessment. In one patient, suspected molar pregnancy was excluded by pathology evaluation. Based\non 51/312 (16.3 %) patients where pathology examination of uterine content influenced further management and treatment,\nwe believe that routine pathology examination of uterine content after uterine evacuation in the fi rst trimester following\nabnormal early pregnancy is justifiable in clinical practice.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Medica Croatica","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
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 first 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 confirmed. 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 influenced 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 justifiable in clinical practice.
期刊介绍:
ACTA MEDICA CROATICA publishes original contributions to medical sciences, that have not been previously published. All manuscripts should be written in English.