Comparison of transvaginal ultrasound, hysteroscopy, and dilatation and curettage in the diagnosis of abnormal vaginal bleeding and intrauterine pathology in perimenopausal and postmenopausal women.
J Am Assoc Gynecol Laparosc
; 9(3): 277-82, 2002 Aug.
Article
em En
| MEDLINE
| ID: mdl-12101322
ABSTRACT
STUDY OBJECTIVE:
To compare transvaginal ultrasound, hysteroscopy, and dilation and curettage (D&C) in the evaluation of women with perimenopausal and postmenopausal bleeding.DESIGN:
Descriptive study (Canadian Task Force classification II-1).SETTING:
Seven outpatient clinics. PATIENTS One thousand two hundred eighty-six women. INTERVENTION Transvaginal ultrasound, hysteroscopy, and D&C. MEASUREMENTS AND MAINRESULTS:
Of our patient population, 29 (2.26%) had a histologic diagnosis of endometrial carcinoma; in 2 of them (7.14%) endometrial thickness was 5 mm or less. In 10 women (34.5%), endometrial carcinoma was missed by hysteroscopy (sensitivity 65.52%, specificity 99.92%). Complication rate of D&C was 1.4%.CONCLUSION:
In women with perimenopausal and postmenopausal bleeding neither transvaginal ultrasound nor hysteroscopy as a single diagnostic tool is suitable to rule out endometrial cancer.
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Base de dados:
MEDLINE
Assunto principal:
Doenças Uterinas
/
Hemorragia Uterina
/
Vagina
/
Histeroscopia
/
Dilatação e Curetagem
Idioma:
En
Ano de publicação:
2002
Tipo de documento:
Article