Methods: In 65 patients, uterine cavity studies were performed by a senior observer using a 2D ultrasound and by a junior observer using a 3D ultrasound. The ultrasonographic findings were compared with pathology and/or diagnostic hysteroscopy (Gold standard). Results: A normal uterine cavity was revealed in 39 (60%) cases of 65 using pathology or histeroscopy as reference of standard. In the 26 (40%) remaining cases the diagnosis were: Endometrial polyps (11), uterine malformation (5), myoma (4), endometrial hyperplasia (4) and endometrial cancer (2). Diagnosis with 2D ultrasonograpy was concordant in 58 (89.2%) cases while in 60 cases by using 3D ultrasonography (92.3%). The two endometrial cancer were diagnosed with both techniques. Five normal uterine cavities were diagnosed as 4 polyps and 1 hyperplasia respectively by 2D ultrasound. Four normal uterine cavity were diagnosed as polyps (3) and myoma (1) by 3D ultrasound. In the remaining cases the pathology was not recognized in any exploration. Conclusions: The use of a 3D ultrasound allows to store images digitally that can be analyzed after the patients explorations, facilitating the training in ultrasonography. In addition, the 3D ultrasound, handled by junior physician, reaches almost the same interpretative results as those reached using 2D ultrasonography by a senior physician. Objectives: The aim of this study was to assess the accuracy of transvaginal ultrasonography (TVUS) in diagnosing endometrial polyps in patients presenting with abnormal uterine bleedings or abnormal endometrial images found during the routine office sonography examination with respect to hysteroscopy and pathology reports. Methods: The study retrospectively evaluated records of 463 women who underwent TVUS and a subsequent hysteroscopy. The results of the TVUS were compared to the hysteroscopy operative reports and the pathology reports. Results: Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of TVUS in predicting endometrial polyps as compared to pathology reports were 43%, 74%, 49% and 69%, respectively. Sensitivity, specificity, PPV and NPV of hysteroscopy in predicting endometrial polyps in comparison to pathology reports were evaluated as 76%, 81% 70% and 85%, respectively. Conclusions: Diagnostic accuracy of TVUS in detecting endometrial polyps shows relatively high specificity although its sensitivity is substantially lower than hysteroscopy.
P27.08
P27.09The indications for hysteroscopy in postmenopausal women and the histological results K. Jalinik, G. Chmielewski, E. Romejko-Wolniewicz, J. Zareba-Szczudlik, K. Czajkowski
II Department of Obstetrics and Gynecology, Warsaw, PolandObjective: To compare the results of hysteroscopy and histology in postmenopausal women after the pathological findings in transvaginal sonography examination. Intrauterine devices (IUD) placement is easy to determine when it has a copper filament, which produces a shadow due to the metallic component. However, hormone-based devices (Mirena; Baye...
