Skating on thin ice….. PMB and thin endometrium

1. Skating on thin ice….. PMB and thin endometrium RagupathyK, Ridout A*, Cawley N, Iqbal P, Alloub M Department of Obstetrics & Gynaecology, Doncaster Royal Infirmary • Introduction • 1-10% of females presenting with PMB will have endometrial cancer • Risk is reduced by a factor of 10 if endometrial thickness is «4mm • Our aims • Is endometrial sampling feasible in women presenting with PMB assessed to have thin endometrium? • What is the incidence of endometrial carcinoma in this cohort of women? • Result • 671 women attended RAC with PMB • 166/671 found to have «4mm endometrial thickness • 112 women underwent endometrial sampling (washings or biopsy) • 72 women (64%) had adequate samples • No cases of hyperplasia or malignancy were reported • Method: • Study included all women presenting with PMB to the rapid access clinic • Retrospective data collection between Sep 2007 and Dec 2010 • Assessment of ultrasound findings, adequacy of endometrial assessment and final histology Current Management • Conclusions • In women presenting with PMB and assessed to have thin endometrium, washings are a more reliable method sampling than endometrial biopsy. • In this group, all adequate histology was reported as benign; a reassuring statistic when counselling women in gynaecology rapid access clinic. II: TV ultrasound assessment * Poster presenter III: Endometrial sampling I: Present with PMB