Vabrasio is a reliable test to rule out endometrial cancer.

IntroductIon: Endometrial cancer is the most common gynaecological cancer in Denmark, and its incidence peaks in the postmenopausal years. The aim of the present study was to evaluate the effectiveness of vacuum aspirator (vabrasio) for the detection of endometrial cancer in terms of sensitivity, specificity and predictive value. Methods: A cohort counting 503 women who had vabrasio was evaluated retrospectively. The women included were consecutive patients who had received vabrasio at the Department of Gynaecology and Obstetrics at Herning Hos­ pital, Denmark, during a two­year period. They were iden­ tified by searching the hospital database for the Inter na­ tional Classification of Diseases, tenth version (ICD­10) code for vabrasio. results: The indications for vabrasio were postmeno­ pausal bleeding (45%), meno/metrorrhagia (43%) and thick­ ened endometrium/polyp (6%). The first evaluation by vabrasio was normal in 381 women (76%), insufficient in 83 women (17%), 22 (4%) had endometrial cancer and 17 (3%) had another non­malignant diagnosis. The first evaluation for cancer with vabrasio had a sensitivity of 81%, a specif­ icity of 100% and predictive values of 100% (positive) and 99% (negative). conclusIons: Vabrasio has a good diagnostic reliability with respect to endometrial cancer, but has some short­ comings due to insufficient sampling for diagnosis. FundIng: none. trIal regIstratIon: not relevant. Danish Data Protection