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Vol. 20, Art. 29 (pp. 349-362)    |    2019       

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Diagnostic informativeness of plasma cell determination by histological and immunohistochemical methods in the diagnosis of chronic endometritis: comparative roc-analysis.

1The Federal State Budgetary Institute "The Nikiforov Russian Center of Emergency and Radiation Medicine"
2The Federal State Budgetary Institute"National Medical Research Center named after V. A. Almazov" of Ministry of Health of the Russian Federation
3Clinic "Mother and Child"

Brief summary

The question of diagnostic informativeness of plasma cells (PC) in establishing the histological diagnosis of chronic endometritis (CE) is the "cornerstone" of many years of discussion. This paper presents the results of a comparative evaluation of the informativeness of the PC as a diagnostic indicator determined by two methods: histological (Hist) and immunohistochemical (IGH). The study group consisted of 937 women with infertility, failed IVF attempts and established diagnosis of CE. The control group consisted of 103 healthy women who were examined for male infertility factor. ROC-analysis showed that based on only one diagnostic criterion - the determination of plasma cells in the endometrium, a diagnosis of CE can be established only in 5% of patients by histological method (sensitivity -Se = 4 5 7%), informative value - likelihood ratio LR[+] = 1,5 5,7 220 and LR[-] = 1,0 1,05 1,07 and low prognostic value with positive result (PPV = 2 10 46 % with Prev = 1.0 2.0 3.0% PPV = 16 59 91% and with Prev = 10.0 20.0 30.0 %) and 68% of patients by immunohistochemical method (sensitivity -Se = 65 68 71%), informativity -LR[+] = 19 71 2790 and LR[-] = 2,8 3,1 3,4 and high prognostic value -PPV= 17 59 91% at Prev = 1,0 2,0 3,0 %; PPV= 71 95 99% at Prev = 10,0 20,0 30,0 %). The low quantitative value of PC in chronic endometritis (1 cell) cannot reliably reflect the degree of inflammation activity. Thus, the histological diagnosis of CE should take into account a complex of morphological criteria that reflect the chronic inflammation.


Key words

chronic endometritis, plasma cells, CD138, sensitivity, specificity

Reference list

1. Crum C.P., Egawa K., Fenoglio C.M., Richart R.M. Chronic endometritis: The role of immunohistochemistry in the detection of plasma cells. Am. J. Obstet. Gynecol. 1983. Vol. 147. P. 812-5. https://www.ncbi.nlm.nih.gov/pubmed/6359886


2. Bayer-Garner I.B., Korourian S. Plasma cell in chronic endometritis are easily identified when stained with Syndecan-1. Mod.Pathol. 2001. Vol. 14. P. 877-9. doi: 10.1038/modpathol.3880405


3. Liu Y., Chen X., Huang J., Wang C.C., Yu M.Y., Laird S., Li T.C. Comparison of the prevalence of chronic endometritis as determined by means of different diagnostic methods in women with and without reproductive failure. FertilSteril. 2018. Vol. 109(5). P. 832-839. doi: 10.1016/j.fertnstert.2018.01.022


4. Kasius J.C., Fatemi H.M., Bourgain C., Sie-Go D.M., Eijkemans R.J., Fauser B.C., Devroey P., Broekmans F.J. The impact of chronic endometritis on reproductive outcome.Fertil.Steril. 2011. Vol. 96. P. 1451-1456. https://doi.org/10.1016/j.fertnstert.2011.09.039


5. McQueen D.B., Perfetto C.O., Hazard F.K., Lathi R.B. Pregnancy outcomes in women with chronic endometritis and recurrent pregnancy loss. Fertil.Steril. 2015. Vol. 104(4). P. 927-931. doi:10.1016/j.fertnstert.2015.06.044.


6. Vicetti Miguel R.D., Chivukula M., Krishnamurti U., Amortegui A.J., Kant J.A., Sweet R.L., Wiesenfeld H.C., Phillips J.M., Cherpes T.L. Limitations of the criteria used to diagnose histologic endometritis in epidemiologic pelvic inflammatory disease research. Pathol. Res. Pract. 2011. Vol. 15. ?. 207(11). P. 680-5. doi: 10.1016/j.prp.2011.08.007.


7. Kitaya K.1., Yasuo T. Immunohistochemistricalandclinicopathological characterization of chronic endometritis. Am. J. Reprod. Immunol. 2011. Vol. 66. P. 410-415. doi: 10.1111/j.1600-0897.2011.01051.x.


8. Kannar V., Lingaiah H.K., Sunita V. Evaluation of endometrium for chronic endometritis by using syndecan-1 in abnormal uterine bleeding. J Lab Physicians. 2012. Vol. 4(2). P. 69-73. doi: 10.4103/0974-2727.105584


9. Hammer Ø., Harper D.A.T., Ryan P.D. 2001. PAST: Paleontological statistics software package for education and data analysis. Palaeontologia Electronica. 2001. Vol. 4(1). P. 9. http://palaeo-electronica.org/2001_1/past/issue1_01.htm


10. GOST R 53022.3-2008. Tehnologii laboratornie klinicheskie. Trebovaniya k kachestvy klinicheskih laboratornih issledovanii. Chast 3. Pravila ocenki klinicheskoi informativnosti laboratornih testov. M.: Standartinform, 2009; 20 s.


GOST R 53022.3-2008.Tekhnologii laboratornye klinicheskie.Trebovaniya k kachestvu klinicheskikh laboratornykh issledovanij.Part 3. .Pravila otsenki klinicheskoj informativnosti laboratornykh testov. M.: Standartinform, 2009; 20 s. http://filegiver.com/free-download/gost-r-53022-3-2008.pdf


11. Tishkov A.V., Hromov-Borisov N.N., Komashnya A.V., Marchenkova F.U., Semenova E.M., Eubova N.I., Delakova E.A., Bihova A.V. Statisticheskii analiz tablic 2×2 v diagnosticheskih issledovaniyah. - SPb.: Izdatelstvo SPbGMY, 2013. - 20 s.


Tishkov A.V., Khromov-Borisov N.N., Komashnya A.V., MarchenkovaF.Yu., Semenova E.M., Eyubova N.I., Delakova E.A., Bykhova A.V. Statisticheskij analiz tablits 2×2 v diagnosticheskikh issledovaniyakh. - SPb.: Izdatel'stvoSPbGMU, 2013. - 20 s.


12. Xia J., Wishart D.S. Using MetaboAnalyst 3.0 for comprehensive metabolomics data analysis. Current Protocols in Bioinformatics. 2016. Vol. 55. P. 14.10.1-14.10.91. doi: 10.1002/cpbi.11.


13. Watkins M. W. An EXCEL program for calculating and graphing the Receiver Operating Characteristic (ROC) [Computer software]. State College, PA: Ed & Psych. Associates. 2000. http://edpsychassociates.com/Software/ROCanalysis.xls


14. Louis T.A., Zeger S.L. Effective communication of standard errors and confidence intervals. Biostatistics (Oxford, England). 2009. Vol. 10(1). P. 1-2. doi:10.1093/biostatistics/kxn014