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%A Hinchcliff, Emily M.; Esselen, Katharine M.; Watkins, Jaclyn C.; Oduyebo, Titilope; Rauh-Hain, J. Alejandro; Del Carmen, Marcela G.; Quade, Bradley J.; Muto, Michael G.
%T The Role of Endometrial Biopsy in the Preoperative Detection of Uterine Leiomyosarcoma.
%J Journal of minimally invasive gynecology, vol. 23, no. 4, pp. 567-572
%D 05/2016
%V 23
%N 4
%M eng
%B To assess the sensitivity of preoperative endometrial biopsy in detection of uterine leiomyosarcoma (ULMS).
%P 567
%L 572
%Y 10.1016/j.jmig.2016.01.022
%W PHY
%G AUTHOR
%R 2016.......23..567H

@Article{Hinchcliff2016,
author="Hinchcliff, Emily M.
and Esselen, Katharine M.
and Watkins, Jaclyn C.
and Oduyebo, Titilope
and Rauh-Hain, J. Alejandro
and Del Carmen, Marcela G.
and Quade, Bradley J.
and Muto, Michael G.",
title="The Role of Endometrial Biopsy in the Preoperative Detection of Uterine Leiomyosarcoma.",
journal="Journal of minimally invasive gynecology",
year="2016",
month="May/Jun",
day="04",
volume="23",
number="4",
pages="567--572",
abstract="To assess the sensitivity of preoperative endometrial biopsy in detection of uterine leiomyosarcoma (ULMS).",
issn="1553-4669",
doi="10.1016/j.jmig.2016.01.022",
url="http://www.ncbi.nlm.nih.gov/pubmed/26851414",
language="eng"
}

%0 Journal Article
%T The Role of Endometrial Biopsy in the Preoperative Detection of Uterine Leiomyosarcoma.
%A Hinchcliff, Emily M.
%A Esselen, Katharine M.
%A Watkins, Jaclyn C.
%A Oduyebo, Titilope
%A Rauh-Hain, J. Alejandro
%A Del Carmen, Marcela G.
%A Quade, Bradley J.
%A Muto, Michael G.
%J Journal of minimally invasive gynecology
%D 2016
%8 May/Jun 04
%V 23
%N 4
%@ 1553-4669
%G eng
%F Hinchcliff2016
%X To assess the sensitivity of preoperative endometrial biopsy in detection of uterine leiomyosarcoma (ULMS).
%U http://dx.doi.org/10.1016/j.jmig.2016.01.022
%U http://www.ncbi.nlm.nih.gov/pubmed/26851414
%P 567-572

PT Journal
AU Hinchcliff, EM
   Esselen, KM
   Watkins, JC
   Oduyebo, T
   Rauh-Hain, JA
   Del Carmen, MG
   Quade, BJ
   Muto, MG
TI The Role of Endometrial Biopsy in the Preoperative Detection of Uterine Leiomyosarcoma.
SO Journal of minimally invasive gynecology
JI J Minim Invasive Gynecol
PD May/Jun
PY 2016
BP 567
EP 572
VL 23
IS 4
DI 10.1016/j.jmig.2016.01.022
LA eng
AB To assess the sensitivity of preoperative endometrial biopsy in detection of uterine leiomyosarcoma (ULMS).
ER

PMID- 26851414
OWN - NLM
STAT- In-Data-Review
DA  - 20160430
IS  - 1553-4669 (Electronic)
IS  - 1553-4650 (Linking)
VI  - 23
IP  - 4
DP  - 2016 May-Jun
TI  - The Role of Endometrial Biopsy in the Preoperative Detection of Uterine
      Leiomyosarcoma.
PG  - 567-72
LID - 10.1016/j.jmig.2016.01.022 [doi]
LID - S1553-4650(16)00070-4 [pii]
AB  - STUDY OBJECTIVE: To assess the sensitivity of preoperative endometrial biopsy in 
      detection of uterine leiomyosarcoma (ULMS). STUDY DESIGN: Retrospective analysis 
      of a prospectively collected database (Canadian Task Force III). SETTING: Two
      academic tertiary referral centers. PATIENTS: All cases of ULMS treated at
      participating institutions between January 2005 and August 2012 were identified
      following IRB approval. INTERVENTIONS: Abstracted data included demographics,
      preoperative evaluation, presenting symptom, surgical management, pathology and
      clinical outcomes. Chi-square tests were used for statistical analysis.
      MEASUREMENTS AND MAIN RESULTS: 329 cases were identified, of which 152 cases had 
      complete pathologic data available for review. Sixty-eight (45%) of 152 patients 
      had endometrial sampling prior to surgery. Patients with postmenopausal bleeding 
      were significantly more likely to be biopsied preoperatively (51.6% vs 9.5%, p = 
      <.0001). Of those sampled, 43 (63%) underwent endometrial pipelle biopsies and 25
      (37%) had dilation and curettage. Endometrial sampling was significantly more
      likely to detect a concern for malignancy in patients who presented with
      postmenopausal bleeding (72.7% vs 32.3%, p = 0.002), however it was less likely
      to detect malignancy in patients with abnormal premenopausal bleeding (31.8% vs
      64.3%, p = .02), compared to other presenting symptoms. Overall, 51.5% of
      patients with ULMS on final pathology had preoperative endometrial biopsies in
      which leiomyosarcoma or atypical spindle cell proliferation were diagnosed,
      whereas 35.5% of the pre-operative biopsies identified ULMS specifically.
      CONCLUSIONS: The sensitivity of an endometrial biopsy to detect ULMS is low,
      illustrating the difficulty of diagnosing ULMS preoperatively. As expected, the
      probability that an endometrial biopsy will detect ULMS or a related worrisome
      pathological finding is higher for patients with post-menopausal bleeding. Thus, 
      benign endometrial biopsy results, particularly in pre-menopausal patients,
      should be interpreted with caution if there is suspicion for leiomyosarcoma.
      However, a positive or suspicious result can play an important role in the
      subsequent management of patients with ULMS, even if the absolute numbers of
      affected patients are small.
CI  - Copyright (c) 2016 AAGL. Published by Elsevier Inc. All rights reserved.
FAU - Hinchcliff, Emily M
AU  - Hinchcliff EM
AD  - Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and
      Women's Hospital, Boston, Massachusetts; Department of Obstetrics and Gynecology,
      Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School,
      Boston, Massachusetts. Electronic address: [email protected]
FAU - Esselen, Katharine M
AU  - Esselen KM
AD  - Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and
      Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston,
      Massachusetts.
FAU - Watkins, Jaclyn C
AU  - Watkins JC
AD  - Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and
      Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston,
      Massachusetts; Department of Pathology, Brigham and Women's Hospital, Boston,
      Massachusetts.
FAU - Oduyebo, Titilope
AU  - Oduyebo T
AD  - Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and
      Women's Hospital, Boston, Massachusetts; Department of Obstetrics and Gynecology,
      Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School,
      Boston, Massachusetts.
FAU - Rauh-Hain, J Alejandro
AU  - Rauh-Hain JA
AD  - Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, 
      Massachusetts; Harvard Medical School, Boston, Massachusetts.
FAU - Del Carmen, Marcela G
AU  - Del Carmen MG
AD  - Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, 
      Massachusetts; Harvard Medical School, Boston, Massachusetts.
FAU - Quade, Bradley J
AU  - Quade BJ
AD  - Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and
      Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston,
      Massachusetts; Department of Pathology, Brigham and Women's Hospital, Boston,
      Massachusetts.
FAU - Muto, Michael G
AU  - Muto MG
AD  - Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and
      Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston,
      Massachusetts.
LA  - eng
PT  - Journal Article
DEP - 20160204
PL  - United States
TA  - J Minim Invasive Gynecol
JT  - Journal of minimally invasive gynecology
JID - 101235322
SB  - IM
OTO - NOTNLM
OT  - Endometrial biopsy
OT  - Uterine leiomyoma
OT  - Uterine leiomyosarcoma
EDAT- 2016/02/07 06:00
MHDA- 2016/02/07 06:00
CRDT- 2016/02/07 06:00
PHST- 2015/12/22 [received]
PHST- 2016/01/26 [revised]
PHST- 2016/01/27 [accepted]
PHST- 2016/02/04 [aheadofprint]
AID - S1553-4650(16)00070-4 [pii]
AID - 10.1016/j.jmig.2016.01.022 [doi]
PST - ppublish
SO  - J Minim Invasive Gynecol. 2016 May-Jun;23(4):567-72. doi:
      10.1016/j.jmig.2016.01.022. Epub 2016 Feb 4.
TY  - JOUR
AU  - Hinchcliff, Emily M.
AU  - Esselen, Katharine M.
AU  - Watkins, Jaclyn C.
AU  - Oduyebo, Titilope
AU  - Rauh-Hain, J. Alejandro
AU  - Del Carmen, Marcela G.
AU  - Quade, Bradley J.
AU  - Muto, Michael G.
PY  - 2016/May/Jun/04
TI  - The Role of Endometrial Biopsy in the Preoperative Detection of Uterine Leiomyosarcoma.
T2  - J Minim Invasive Gynecol
JO  - Journal of minimally invasive gynecology
SP  - 567
EP  - 572
VL  - 23
IS  - 4
N2  - To assess the sensitivity of preoperative endometrial biopsy in detection of uterine leiomyosarcoma (ULMS).
SN  - 1553-4669
UR  - http://dx.doi.org/10.1016/j.jmig.2016.01.022
UR  - http://www.ncbi.nlm.nih.gov/pubmed/26851414
ID  - Hinchcliff2016
ER  - 
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