Prevalence of Pathological Specimens of Diagnostic Curettage in Patients Admitted to Niknafs Hospital (A Short Report)

One of the most common causes of Abnormal Uterine Bleeding (AUB) in adolescents is endometrial carcinoma. Evaluation of endometrial cancer in women of childbearing age، especially in the presence of other risk factors، is necessary. This study aimed to determine the frequency of pathological specimens of diagnostic curettage in patient admitted to Niknafs hospital and determining the predisposing factors for malignant cases. In this descriptive study، all the patients over 35 with complaint of abnormal bleeding in Niknafs hospital، the only maternity hospital in Rafsanjan، who had the diagnostic curettage performed on them from 2006 to 2009، were studied. Data were extracted from the patients'' history of records and the samples were referred to the pathology center of Ali-ebn-abitaleb hospital and by questionnaire. Data were analyzed using descriptive statistics. Most pathology reports (45. 5%) were hyperplasia and 4% cancer and 24. 6% were normal. Most complaints was menorrhagia bleeding (53. 6%). Average of Fertility number was 4. 9±2. 4. Thirteen and one tenth percent of cases were taking contraceptive pills and 4. 7% were diabetic and 16. 5% had hypertension. Of all cases، only one case had the history of breast cancer in her and there was no case of cancer in the family history. Seventy five percent of endometrial cancer were affected with the complaint of menorrhagia. People with normal endometrium had lowest fertility rate and were younger. The age of the patients and the multiplicity of their fertility with the diagnosis of abnormal endometrial curettage in pathological specimens showed a direct relationship. There were no direct relationships between oral contraceptive use and incidence of diabetes in people with cancer.