Prehysterectomy curettage in women with uterine fibromyomata is not worthwhile

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Abstract
Objective: To study the value of prehysterectomy curettage in women referred on the suggestion of uterine fibroids.Design: A retrospective study.Setting: Gentofte Hospital, University of Copenhagen.Subjects: Four hundred and eleven patients with a curettage prior to hysterectomy on suspicion of uterine fibroids.Main outcome measure: Histological accuracy, frequency of (pre)malignancies and clinical consequences due to routine curettage.Results: Curettage disclosed two cases of endometrial cancer and four cases of ON. It missed two cases of CIN and one case of endometrial cancer in a postmenopausal women. In no case did the final histology disclose diseases that had not been taken care of during the laparotomy.Conclusion: Curettage in women with a preoperative diagnosis of uterine fibromyomata is not worthwhile.

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