Cost-effectiveness analysis of biopsy strategies for endometrial cancer diagnosis in women with postmenopausal bleeding: Pipelle sampling curette versus dilatation & curettage

Outpatient endometrial biopsy with Pipelle vs diagnostic dilatation and curettage.

BACKGROUND Pipelle is a silastic curette which does not require a tenaculum or straightening of the cervical fundus axis because of its flexibility and does not require general anaesthesia, whereas Dilatation and curettage (D&C) requires hospitalization and general anaesthesia along with the problem of postoperative pain. The objective of the study was to assess the effectiveness of Pipelle sam...

Endometrial pipelle biopsy compared to conventional dilatation and curettage.

Dilatation and curettage (D + C) is the most common operation performed in Britain. The liberal use of D + C has been criticised. The objective of this study was to evaluate the use of outpatient endometrial pipelle biopsy and determine its safety in terms of detecting abnormalities. Complications and financial costs were also evaluated. Data were reviewed from an active gynaecological unit fro...

Outpatient diagnosis of endometrial cancer in women with postmenopausal bleeding

of Cornier ’ pipelle endometrial biopsy in comparison with dilatation

Objective. The main objective of the study was to determine the reliability of the Cornier’ pipelle endometrial biopsy in determining endometrial cancer, and the comparison of this with the gold standard method, dilatation and curettage. Materials and methods. A number of 105 patients with indication of endometrial biopsy were included in this study. Initially the Cornier’ pipelle endometrial b...

The accuracy of endometrial sampling in the diagnosis of patients with endometrial carcinoma and hyperplasia: a meta-analysis.

BACKGROUND Endometrial assessment by means of biopsy or sampling of endometrial cells is a minimally invasive alternative for dilatation and curettage (D&C) or hysteroscopy. The use of this technique is believed to reduce the cost of the diagnostic work-up for abnormal uterine bleeding without reducing accuracy. Because the authors were not aware of any systematic review of this test, they perf...