Endometrial brush biopsy (Tao brush)

Histologic diagnosis of 200 cases with complementary cytology: An accurate sampling technique for the detection of endometrial abnormalities

Howard Wu, K. E. Harshbarger, H. W. Berner, T. M. Elsheikh

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

We examined 200 cases of endometrial brush biopsy (EBB) using the Tao brush and correlated findings with histologic findings from subsequent dilatation and curettage (D&C) or hysterectomy specimens. Diagnosis by EBB relied mainly on histologic evaluation of H&E-stained tissue sections and was complemented by additional cytologic smear examination. EBB correctly detected the following cases: endometrioid adenocarcinoma, 3; complex hyperplasia with atypia, 1; simple hyperplasia without atypia (SH), 2; and benign endometrium, 177. In 3 cases the diagnosis of atrophic endometrium was made by EBB; corresponding D&C specimens were nondiagnostic. Five cases of SH were interpreted by EBB as proliferative endometrium, and 13 endometrial polyps were not identified by EBB. Nine samples were nondiagnostic. Sensitivity and specificity were 100% for detecting atypical hyperplasia and carcinoma. However, it was difficult for EBB to distinguish SH from disordered proliferative endometrium or to diagnose endometrial polyps. We found that diagnosis by EBB is reproducible; a second pathologist blinded to histologic follow-up correctly identified all adenocarcinoma/atypical hyperplasia cases. EBB is an accurate, safe, and easy procedure that is well tolerated by patients and should be considered in the initial evaluation of high-risk outpatients.

Original languageEnglish (US)
Pages (from-to)412-418
Number of pages7
JournalAmerican Journal of Clinical Pathology
Volume114
Issue number3
StatePublished - 2000
Externally publishedYes

Fingerprint

Cell Biology
Biopsy
Endometrium
Hyperplasia
Dilatation and Curettage
Polyps
Endometrioid Carcinoma
Hysterectomy
Adenocarcinoma
Outpatients
Carcinoma
Sensitivity and Specificity

Keywords

  • Endometrial biopsy
  • Endometrial brush biopsy
  • Endometrial cytology
  • Tao brush

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

Cite this

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title = "Endometrial brush biopsy (Tao brush): Histologic diagnosis of 200 cases with complementary cytology: An accurate sampling technique for the detection of endometrial abnormalities",
abstract = "We examined 200 cases of endometrial brush biopsy (EBB) using the Tao brush and correlated findings with histologic findings from subsequent dilatation and curettage (D&C) or hysterectomy specimens. Diagnosis by EBB relied mainly on histologic evaluation of H&E-stained tissue sections and was complemented by additional cytologic smear examination. EBB correctly detected the following cases: endometrioid adenocarcinoma, 3; complex hyperplasia with atypia, 1; simple hyperplasia without atypia (SH), 2; and benign endometrium, 177. In 3 cases the diagnosis of atrophic endometrium was made by EBB; corresponding D&C specimens were nondiagnostic. Five cases of SH were interpreted by EBB as proliferative endometrium, and 13 endometrial polyps were not identified by EBB. Nine samples were nondiagnostic. Sensitivity and specificity were 100{\%} for detecting atypical hyperplasia and carcinoma. However, it was difficult for EBB to distinguish SH from disordered proliferative endometrium or to diagnose endometrial polyps. We found that diagnosis by EBB is reproducible; a second pathologist blinded to histologic follow-up correctly identified all adenocarcinoma/atypical hyperplasia cases. EBB is an accurate, safe, and easy procedure that is well tolerated by patients and should be considered in the initial evaluation of high-risk outpatients.",
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AU - Berner, H. W.

AU - Elsheikh, T. M.

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