PT  - JOURNAL ARTICLE
AU  - Husain, Sufia
AU  - Al Hammad, Reema S.
AU  - Alduhaysh, Aljawhara K.
AU  - AlBatly, Mada M.
AU  - Alrikabi, Ammar
TI  - Pathological spectrum of endometrial biopsies in Saudi women with abnormal uterine bleeding
AID  - 10.15537/smj.2021.42.3.20200814
DP  - 2021 Mar 01
TA  - Saudi Medical Journal
PG  - 270--279
VI  - 42
IP  - 3
4099  - http://smj.org.sa/content/42/3/270.short
4100  - http://smj.org.sa/content/42/3/270.full
SO  - Saudi Med J2021 Mar 01; 42
AB  - Objectives: To assess and age stratify the types and frequencies of endometrial pathologies in Saudi women with abnormal uterine bleeding (AUB) that underwent endometrial biopsies, at our hospital over a 13-year period.Methods: In a retrospective study, from 2006 to 2018, all endometrial biopsies from Saudi women with AUB, reported at the laboratory of King Saud University-Medical City, Riyadh, Saudi Arabia, were revisited and analyzed. The women were categorized into <40, between 40-55 and >55 years of age.Results: We analyzed 6458 biopsies. In <40 and 40-55 years’ groups cyclical endometrium was most common followed by endometrial polyps and disordered proliferative endometrium. In the >55 years’ group, atrophic endometrium was most common followed by endometrial polyps. The hyperplasias and malignancies together accounted for 7.2% of the study, majority in the >55 years’ group. Simple hyperplasia without atypia was the most common (3.9%), followed by malignancies (1.9%), complex atypical hyperplasia (0.7%), complex hyperplasia without atypia (0.4%), and simple atypical hyperplasia (0.3%).Conclusion: Awareness of the probable spectrum of endometrial histopathologies in the various ages is useful in guiding management. Endometrial biopsies are valuable in early detection of precancerous and cancerous endometrial lesions especially in women over 40 years.