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Hysterosonographically Guided Endometrial Biopsy

Technical Feasibility

Theodore J. Dubinsky1, Susan Reed2, Connie Mao2, Gayle M. Waitches1 and Eric K. Hoffer1

1 Department of Radiology, University of Washington, Harborview Medical Center, Box 359728, 325 Ninth Ave., Seattle, WA 98104.
2 Department of Obstetrics and Gynecology, University of Washington, Harborview Medical Center, Seattle, WA 98104.



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  		Fig. 1A. —43-year-old woman with abnormal uterine bleeding. Mid sagittal image obtained from videotape of procedure showing balloon catheter (straight open arrow) in uterus. Flexible forceps appear as echogenic line within catheter (curved arrows), and end of grasper appears as focal echogenicity located at fundus (straight solid arrow).

 


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  		Fig. 1B. —43-year-old woman with abnormal uterine bleeding. Transverse image shows echogenic flexible forceps that produce posterior acoustic shadowing (arrow).

 


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  		Fig. 1C. —43-year-old woman with abnormal uterine bleeding. Photomicrograph of biopsy specimen obtained with flexible forceps shows normal proliferative endometrium. (H and E, x40)

 

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