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

作者: Povzun S.A.¹, Bezhenar V.F.¹, Tsvelev Y.V.², Fridman D.B.¹^,2
隶属关系:
1. The D.O.Ott Research Institution of Obstetrics and Gynecology RAMS'
2. Medical-Military Academy
期: 卷 54, 编号 5S (2005)
页面: 45-45
栏目: Reviews
##submission.dateSubmitted##: 15.11.2005
##submission.dateAccepted##: 08.11.2021
##submission.datePublished##: 15.11.2005
URL: https://journals.eco-vector.com/jowd/article/view/87373
DOI: https://doi.org/10.17816/JOWD87373
ID: 87373

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

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

全文:

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.