Mario Franchini1, Federica Zolfanelli2, Marcella Gallorini2, Giovanna Giarrè1, Raffaele Fimiani3, Pasquale Florio4. 1. Palagi Freestanding Unit, Florence, Italy. 2. U.O.C. Pathology, "S. Giovanni di Dio" Hospital, Florence, Italy. 3. U.O.C. Obstetrics & Gynecology, "S. Iacopo" Hospital, Pistoia, Florence and Pistoia, Italy. 4. U.O.C. Obstetrics & Gynecology, "S. Iacopo" Hospital, Pistoia, Florence and Pistoia, Italy. Electronic address: floriop@hotmail.com.
Abstract
OBJECTIVE: Polypectomy under hysteroscopic guidance is the treatment of choice for most endometrial polyps, but mechanical or electrical effects at the time of surgery may result in artifactual displacement of tissue with obvious resultant diagnostic problems. The purpose of this study was to record qualitative and quantitative histopathological artifacts and to assess differences between artifacts found in specimens obtained by different surgical polypectomy techniques. STUDY DESIGN: During the period from November 2012 to March 2013, 90 retrospective consecutive polyp histopathological slides and their reports were identified for this study. Initially reported slides were reviewed blind by two histopathologists, who were not provided with any surgical details. The issued reports and those of the reviewing pathologists were then compared. RESULTS: Of the 90 reviewed polyp slides, there was complete agreement on the initial issued report in all cases. CONCLUSIONS: Removal of endometrial polyps in an office setting using mechanical instruments, bipolar electrode or a hysteroscopic morcellator provides adequate tissue for histological diagnosis, and there is no difference between these three techniques for adequacy of histological examination, despite the effects of thermal injury or tissue fragmentation.
OBJECTIVE: Polypectomy under hysteroscopic guidance is the treatment of choice for most endometrial polyps, but mechanical or electrical effects at the time of surgery may result in artifactual displacement of tissue with obvious resultant diagnostic problems. The purpose of this study was to record qualitative and quantitative histopathological artifacts and to assess differences between artifacts found in specimens obtained by different surgical polypectomy techniques. STUDY DESIGN: During the period from November 2012 to March 2013, 90 retrospective consecutive polyp histopathological slides and their reports were identified for this study. Initially reported slides were reviewed blind by two histopathologists, who were not provided with any surgical details. The issued reports and those of the reviewing pathologists were then compared. RESULTS: Of the 90 reviewed polyp slides, there was complete agreement on the initial issued report in all cases. CONCLUSIONS: Removal of endometrial polyps in an office setting using mechanical instruments, bipolar electrode or a hysteroscopic morcellator provides adequate tissue for histological diagnosis, and there is no difference between these three techniques for adequacy of histological examination, despite the effects of thermal injury or tissue fragmentation.
Authors: M Franchini; O Ceci; P Casadio; J Carugno; G Giarrè; G Gubbini; U Catena; M Chiara de Angelis; A Di Spiezio Sardo Journal: Facts Views Vis Obgyn Date: 2021-06-10