Question
Which of the following is true regarding endometrial hyperplasia?
| A. |
Gold standard for diagnosis is hysteroscopy
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| B. |
If biopsy is done, no further follow-up is required
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| C. |
D&C is used for diagnosis
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| D. |
In recurrent symptoms, no biopsy is required
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Show Answer
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Correct Answer » C
Explanation
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The diagnosis of endometrial hyperplasia requires histopathological examination of endometrial tissue. Tissue can be obtained by Pipelle biopsy, Dilatation and Curettage (D&C), or hysteroscopy with directed biopsy. In traditional examination questions, D&C is the expected diagnostic method. Although hysteroscopy with directed biopsy has the highest diagnostic accuracy, hysteroscopy alone is not diagnostic.
Explanation of Each Option
A. Hysteroscopy is the gold standard for diagnosis – Incorrect. Hysteroscopy alone only visualizes the uterine cavity; histopathological confirmation is essential.
B. If an endometrial biopsy is performed, no further follow-up is required – Incorrect. Patients, especially those managed conservatively or with atypia, require repeat endometrial sampling.
C. Dilatation and Curettage (D&C) is used for diagnosis – Correct. D&C provides endometrial tissue for histopathological diagnosis and is used when office biopsy is inadequate or inconclusive.
D. In recurrent symptoms, repeat endometrial biopsy is not required – Incorrect. Persistent or recurrent abnormal uterine bleeding requires repeat endometrial evaluation and biopsy to exclude persistent hyperplasia or malignancy.
