RESUMO
Two hundred and three non-pregnant women who underwent diagnostic dilatation and curettage or hysterectomy were included in a prospective study designed to assess the accuracy of transvaginal sonography in conforming or excluding the presence of uterine cancer. All preoperative sonographic findings were compared with the final histological diagnosis. The predictive value of sonographic evidence of malignancy was 71.1% (32/45), the predictive value of benign disease was 95.6% (151/158). Sensitivity was 82.1% (32/39) and specificity 92.1% (151/164). Although sensitivity and specificity increased as compared to an earlier study using transabdominal ultrasound, we recommend dilatation and curettage in women with postmenopausal bleeding.
Assuntos
Neoplasias do Endométrio/diagnóstico por imagem , Neoplasias Uterinas/diagnóstico por imagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Diagnóstico Diferencial , Dilatação e Curetagem , Neoplasias do Endométrio/patologia , Neoplasias do Endométrio/cirurgia , Endométrio/diagnóstico por imagem , Endométrio/patologia , Feminino , Humanos , Histerectomia , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Ultrassonografia , Neoplasias Uterinas/patologia , Neoplasias Uterinas/cirurgia , Útero/diagnóstico por imagem , Útero/patologiaRESUMO
Over the last 20 years, the frequency of multiple pregnancy has increased mainly because of the introduction of exogenous pituitary gonadotropins in the treatment of sterility. The incidence of ectopic pregnancies also increased during the same period of time. This paper describes the first reported case of a simultaneous bilateral tubal and multiple intra-uterine pregnancy after ovulation induction with human gonadotropins.