AI Summary & Key Takeaways
AI InsightHistopathological evaluation is mandatory for ruling out malignancy.
📌 3 Key Takeaways
Özet
OBJECTIVE: We aimed to determine the frequency of endometrial pathologies of patients who pre- sented to our outpatient clinic with postmenopausal bleeding and asymptomatic menopausal patients with a finding of thickened endometrium on transvaginal ultrasonography. STUDY DESIGN: This study was performed at Bezmialem University Hospital. Women who presented to our clinic from January 2015 to January 2017 were analyzed. Patients were divided into two groups. All patients underwent transvaginal ultrasound with a 7.5 MHz probe. Endometrial sampling was per- formed by either blind dilatation & curettage or pipelle sampling. We excluded patient specimens that were obtained by hysteroscopy. RESULTS: Electronic records of a total of 368 patients in menopause were inspected. Out of these patients; 287 (78%) underwent endometrium sampling indicated by bleeding. Eighty-one patients (22%) were asymptomatic; however, a thickened endometrium echo on TVUSG examination (≥5 mm) was sus- pected. The median age was 57 (42-85). In both groups the two leading causes of endometrial pathol- ogy was; endometrial polyps followed by proliferative endometrium. The frequency of endometrial cancer was 9.4% for the postmenopausal bleeding group and 1.2% in the asymptomatic patient group. CONCLUSION: Evaluation of postmenopausal bleeding as soon as possible is essential for diagnosing endometrial pathologies. Role of endometrial thickness is decisive in detecting patients at high risk for malignancy especially with comorbid conditions. Histopathological evaluation is mandatory for ruling out malignancy.