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WS05: Endometrial pathology
WS05‐01Ultrasound in endometrial pathology
Author(s) -
Haller H.
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.1469-0705.2000.00009-1-30.x
Subject(s) - medicine , endometrium , curettage , endometrial cancer , cytology , gynecology , endometrial hyperplasia , endometrial polyp , carcinoma , atypical hyperplasia , radiology , pathology , cancer , obstetrics
Background This study was undertaken to evaluate the accuracy of transvaginal ultrasound combined with vaginal and endometrial cytology in detecting endometrial pathology in postmenopausal women. Method In all patients who underwent dilatation and curettage (D & C) for postmenopausal bleeding during four years endometrial thickness, vaginal and endometrial cytology were evaluated. Results Accuracy of endometrial thickness in detecting pathologic condition, like as polyp, hyperplasia and carcinoma was high sensitive but with low specificity. Combined use transvaginal ultrasound, vaginal and endometrial cytology show very high sensitivity and specificity for endometrial cancer. The combined use of three diagnostic methods show no benefit for other pathologic conditions. Conclusion Combination of transvaginal ultrasound, vaginal and endometrial cytology can not absolutely replace histologic findings obtained by D & C. However, in the cases with thin endometrium and negative cytology D & C could be avoided. Usefulness of these three methods has to be found in providing more information resulting in better understanding of endometrial condition.