Endometrial Assessment by Vaginal Ultrasonography Might Reduce Endometrial Sampling in Patients with Postmenopausal Bleeding: A Prospective Study

• DOI: 10.1111/j.1479-828x.1996.tb03280.x
• Publication Date: 2008-02-13T13:26:52Z
• Authors: Haldun Güner; M. Bülent Tiras; Onur Karabacak; Hülya Sarikayaw; Mehmet Erdem; Mulazim Ylldirim
• Keywords: Curettage; Endometrial hyperplasia; Vaginal bleeding

The purpose of this study is to compare transvaginal sonographic endometrial assessment with histology obtained by curettage in postmenopausal patients and determine a cut-off point for thickness reduce unnecessary diagnostic bleeding. A total number 289 women were studied prospectively; 192 bleeding 97 without comprised the control groups respectively. All scanned ultrasound transvaginally, then dilatation was performed evaluation. In all bleeding, 4 mm or less as depicted sonography correlated well 'atrophic endometrium' (100%). Of 158 an endometrium > both groups, 40 (25.1%) had negative result (tissue insufficient diagnosis atrophic endometrium), while 118 (74.8%) positive which included proliferative secretory endometrium, hyperplasia, polyps cancer. As increased, probability finding pathology increased linearly (PMB) there significant linear correlation between PMB (+) (-) cases (Linear regression, R = 0.91, p < 0.03). difference found carcinoma other pathologies concerning mean 22.7 +/- 10.2 (chi-square, 0.0001). Also, 4.7 3.3 6.1 3.7 'tissue histological diagnosis' significantly different than Endometrial may serve predicting accuracy 100% cases. Then increases, increases predictive value 74.6%.