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  • Title: Critical assessment of dilatation and curettage in 1029 women.
    Author: MacKenzie IZ, Bibby JG.
    Journal: Lancet; 1978 Sep 09; 2(8089):566-8. PubMed ID: 79928.
    Abstract:
    Of 1029 dilatation-and-curettage operations carried out in a 12-month period, more than half were in women aged under 40, and 38% were for menstrual disturbances. The yield of intrauterine disease in these groups was low--curettage for post-menopausal bleeding or discharge in 150 women detected 15 endomettrial carcinomas and a similar number of other endometrial lesions. The complication-rate resulting from curettage was 1.7%--i.e., equivalent to the overall rate of detection of endometrial carcinoma. Selection of patients submitted to uterine curettage could be better, but postmenopausal bleeding remains an indication for mandatory uterine curettage.
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