Abstract
A complete curettage is the ideal method for optimal diagnostic evaluation of the endometrium. A fractionated curettage has additional advantages; it helps to localize the site and extent of malignancy and assists in evaluating endocervical changes that develop during hormonal therapy. For functional diagnosis in infertile patients, endometrial biopsies will usually suffice if properly taken with a single-stroke biopsy from the uterine fundus, and they offer the advantage that they can be repeated within the same menstrual cycle. Interpreting biopsies taken by brush or aspiration may prove quite difficult and inaccurate, except for advanced carcinomas.
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References
Dallenbach-Hellweg G (1987) Histopathology of the endometrium, 4th edn. Springer, Berlin/Heidelberg/New York/Tokyo
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Dallenbach-Hellweg, G., Schmidt, D., Dallenbach, F. (2010). Technical Remarks. In: Atlas of Endometrial Histopathology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01541-0_2
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DOI: https://doi.org/10.1007/978-3-642-01541-0_2
Publisher Name: Springer, Berlin, Heidelberg
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