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Correlation of ultrasound findings and endometrial histopathology in postmenopausal women
Author(s) -
NASRI M. N.,
COAST G. J.
Publication year - 1989
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1989.tb03233.x
Subject(s) - ultrasound , medicine , endometrium , histopathology , pyometra , hysterectomy , gynecology , radiology , endometrial polyp , endometrial hyperplasia , uterus , pathology , obstetrics
Summary Comparison of ultrasound scan and histology of the endometrium was made in 90 postmenopausal women. Of these, 63 women had postmenopausal bleeding (group A) and 27 had had no bleeding (group B). Sensitivity of ultrasound to diagnose endometrial pathology was 91%, and all endometrial carcinomas, hyperplasias and pyometra were diagnosed by ultrasound. In 10 prcmenopausal women (group C), who had a hysterectomy for cervical intraepithelial neoplasia, the ultrasound measurements of the endometrial wall thickness were within 1 mm of the actual thickness, as measured in the fresh unfixed specimen with a ruler. This preliminary study has shown that a normal ultrasound appearance of the endometrium in postmenopausal women reliably excludes significant endometrial pathology. Also, changes in the thickness and texture of the endometrium detected by ultrasound correlated with subsequent pathological findings.