Efficiency of different biopsy methods of adenomyosis diagnosis, comparative analisis

S. A. Povzun; Повзун С. А.; V. F. Bezhenar; Беженарь В. Ф.; Y. V. Tsvelev; Цвелёв Ю. В.; D. B. Fridman; Фридман Д. Б.

doi:10.17816/JOWD87373

Efficiency of different biopsy methods of adenomyosis diagnosis, comparative analisis

Authors: Povzun S.A.¹, Bezhenar V.F.¹, Tsvelev Y.V.², Fridman D.B.¹^,2
Affiliations:
1. The D.O.Ott Research Institution of Obstetrics and Gynecology RAMS'
2. Medical-Military Academy
Issue: Vol 54, No 5S (2005)
Pages: 45-45
Section: Reviews
URL: https://journals.eco-vector.com/jowd/article/view/87373
DOI: https://doi.org/10.17816/JOWD87373
ID: 87373

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Abstract

Introduction.Usage of low invasive methods in adenomyosis diagnosis helps to diagnose adenomyosis definitely by histological examination of myometrium samples.

Keywords

the effectiveness of various biopsy techniques in the diagnosis of adenomyosis, diagnosis of adenomyosis, biopsy techniques

Full Text

Introduction.Usage of low invasive methods in adenomyosis diagnosis helps to diagnose adenomyosis definitely by histological examination of myometrium samples.

Material and methods. Hysterectomy specimen (n=32), in 24 (75%) cases the adenomyosis was confirmed by pathologic examination. Imitation of transcervical and transabdominal puncture biopsy, pinch and resection biopsy in vitro were performed.

Results:

pinch biopsy is characterized by low volume of myometrium sample ~lmm3, unavailability to obtain deep located areas of myometrium,
resectobiopsy is characterized by unavailability to obtain deep located areas of myometrium, high side thermal necrosis, making 70% of preparation impossible for histological analysis.
Sensitivity of transcervical puncture biopsy for 5-nodular is 48%, 6-8 nodular - 83%, this method provides possibility to obtain deep located areas of myometrium;
transabdominal puncture biopsy gets tissue samples from external zones of myometrium, making impossible determine the depth of endometrial invasion. Sensitivity of transabdominal biopsy is 58% for 8-nodular biopsy.
6-nodular transcervical biopsy - is the optimal method to obtain histological samples confirming adenomyosis.