Premium
P135Endometrial thickness ultrasound evaluation and its variations
Author(s) -
Santos F. F. A.,
Machado M. R. M.,
Dertkigil M. S. J.,
Marussi E. F.
Publication year - 2000
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.2000.00004-1-134.x
Subject(s) - medicine , endometrium , menopause , endometrial cancer , endometrial polyp , atrophy , vaginal bleeding , gynecology , pathological , hormone replacement therapy (female to male) , urology , cancer , obstetrics , pregnancy , testosterone (patch) , biology , genetics
Background The aim of this study was to evaluate the variations in endometrial thickness considering years since the last menstrual bleeding, abnormal vaginal bleeding and hormonal replacement therapy (HRT). It was also studied the histological diagnosis. Method Endometrial thickness (ET) was measured in 100 postmenopausal women by pelvic and/or transvaginal US, that had gone to routine examinations. Results The mean age was 61.5 years (± 9.3) and the mean menopausal age was 48 years (± 5). Forty percent was under HTR and abnormal vaginal bleeding was present in 13% of the patients. Endometrial thickness in patient with 5 or less years since menopause was 5.5 mm (± 0.9) and 4.3 mm (± 0.5 mm) in those with 6 or more years. Patients under HTR the mean thickness was 5.07 mm (± 5.6) and without HTR was 4.35 mm (± 3.9). Women with abnormal bleeding had mean endometrium of 6.9 mm (± 6.2), against 4.2 (± 4.3) from assyntomatic patients. The histological diagnosis from patients with ET ≥ 6 mm were: endometrial polyps (9); endometrial cancer (1); proliferative endometrium (1); submucous mioma (1) and endometrial atrophy (1). All histological studies from patients with bleeding and ET < 6 mm showed atrophic endometrium. Conclusions The ET had no significant statistical variation when analised time since menopause and use of HRT. All patients with bleeding and ET < 6 mm had endometrial atrophy. 85% (11/13) patients with ET ≥ 6 mm had pathological finds in histological study, including one endometrial cancer.