SavedAdd your journal

Journals / GORM:Gynecology Obstetrics & Reproductive Medicine / 2005 / Cilt: 11 - Sayı: 1

The value of transvaginal uterine ultrasonography in the detection of endometrial disease in perimenopausal women with irregular uterine bleeding: Comparison with the histo-pathologic results

Mert GÖL
Ali BALOĞLU
Oğuzhan ALPAYDIN
Ahmet KILYAR
Pages
49–51
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

CONCLUSIONS: Transvaginal sonographic examination of the endometrium is a sensitive diagnostic method for the detection of endometrial cancer and hyperplasia in perimenopausal women with irregular uterine bleeding.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:OBJECTIVE: To examine the value of transvaginal ultrasonography in the detection of endometrial disease in perimenopausal women with irregular uterine bleeding.
📊
Key Findings & Data:STUDY DESIGN: Fifty perimenopausal women with irregular uterine bleeding for at least 3 months were recruited in the study.
💡
Conclusion & Impact:CONCLUSIONS: Transvaginal sonographic examination of the endometrium is a sensitive diagnostic method for the detection of endometrial cancer and hyperplasia in perimenopausal women with irregular uterine bleeding.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Perimenopoz · Endometriyum · İleriye dönük çalışma

Abstract

OBJECTIVE: To examine the value of transvaginal ultrasonography in the detection of endometrial disease in perimenopausal women with irregular uterine bleeding. STUDY DESIGN: Fifty perimenopausal women with irregular uterine bleeding for at least 3 months were recruited in the study. Endometrial thickness measurement by transvaginal ultrasonography was performed in each patient. Endometrial tissue sampling was performed by dilatation and curettage. The ultrasonographic results were compared with the histological diagnosis obtained from the endometrial biopsy RESULTS: Mean endometrial thickness was higher in patients with hyperplasia and endometrial cancer than those patients with benign histopathologic diagnoses (P<.05). The sensitivity, specificity, positive predictive value, and negative predictive value of transvaginal ultrasonography were 100%, 87.8%, 80.9%, and 100%, respectively, as determined by a cut-off level of 13 mm. CONCLUSIONS: Transvaginal sonographic examination of the endometrium is a sensitive diagnostic method for the detection of endometrial cancer and hyperplasia in perimenopausal women with irregular uterine bleeding.

🔖

Cite This Article

GÖL, M., BALOĞLU, A., ALPAYDIN, O., KILYAR, A. (2005). The value of transvaginal uterine ultrasonography in the detection of endometrial disease in perimenopausal women with irregular uterine bleeding: Comparison with the histo-pathologic results. GORM:Gynecology Obstetrics & Reproductive Medicine, Cilt: 11 - Sayı: 1, 49–51. https://ajindex.com/articles/227562

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Wall RE, Okuda DE, et al. Menopause. In: Frederickson HL, Wilkins Haug L, eds. Obstetrics and Gynecology Secrets. Philadelphia, 1997:113
  2. Grandberg S, Wickland M, Karlsson B. Endometrial Thickness as measured by endovaginal USG for identifying endometrial abnormality. Am J Obstet Gynecol 1997; 164:47-52
  3. Dijkhuizen FP, Brolmann HA, Potters AE, Bogners MY, Heinz AP. The accuracy of transvaginal ultrasonography in the diagnosis of endometrial abnormalities. J Obstet. Gynecol 1996; 87:345-9
  4. Sladkevicius P, Valentin L. Endometrial thickness and Doppler velocimetry of the uterine arteries as discriminators of endometrial status in women with postmenopausal bleeding. A comparative study Am. J Obstet. Gynecol 1994; 171:722-8
  5. Persson I. Hormone replacement therapy and the risk of endometrial cancer. Acta Oncol 1989; 28:583-4
  6. Richards-Kustan CJ, Kase NG. Diagnosis and management of perimenopausal and postmenopausal bleeding. Obs Gynecol. Clin North Am 1987; 14:169-89
  7. Paraskevaidis E, Kalantaridou S, Ppadimitriou D, Pappa L, Malamou-Mitsi V, Zikopoulos K. Transvaginal uterine ultrasonography compared with endometrial biopsy for the detection of endometrial disease in perimenopausal women with uterine bleeding. Anti Cane Res 2002; 22:1829-32
  8. Barkos O, Helmer G. Transvaginal ultrasonographic evaluation of the endometrium related to the histological findings in pre and perimenopausal women. Gynecol Obstet Invest 1998; 45:199-204
  9. Deckardt R, Lueken RP, Gallinat A, Moller CP, Busche D, Nugent W. Comparisaon of transvaginal ultrasound, hysteroscopy, and dilatation and curettage in the diagnosis of abnormal vginal bleeding and intrauterine pathology in perimenopausal and postmenopausal women. J Am Assoc Gynecol Laparosc 2002; 9:277-82. 10.Bernard JB, Lecuru F, Darles C, Robin F, De Bievre P, Taurelle R. Use of ultrasonography as a first-line investigation of the uterus. Results of a prospective study. J Gynecol Obstet Biol Reprod 1998; 27:167-73
  10. Goldstein SR, Schwartz LB. Evaluation of abnormal vaginal bleeding in perimenopausal women with endovaginal ultrasound and saline infusion sonohysterography. Ann N Y Acad Sci 1997; 828:208-12
  11. Goldstein SR, Zeltser I, Horan CK, Snyder JR, Schwartz LB. Ultrasonography based triage for perimenopausal patients with abnormal uterine bleeding. Am J obstet Gynecol 1997; 177:102-8
  12. Dubinsky TJ, Parvey HR, Maklad N. The role of transvaginal sonography and endometrial biopsy in the evaluation of