Correlation between Endometrial Histopathology in Postmenopausal Uterine Bleeding and Transvaginal Colour Doppler

Kady, Shawkat El; Eltemamy, Emad; Fatah, Ahmed Abd El; Ibrahim, Mohamed; Salem, S. A.

doi:10.21608/aimj.2021.55810.1390

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…in Egypt. [ 17 ] In a study by Madkour signs of multiple angiogenesis were found in 7/10 cancer cases, remaining 1 case of disseminated vascular proliferation and 2 cases of no Doppler signal. [ 8 ] The LR (+) index was 16.0, showing signs of multiple vascular proliferations that were valuable for diagnosing EC in our study [ Table 3 ].…”

Section: Discussionmentioning

confidence: 99%

Combination of B-Mode Ultrasound and Doppler Ultrasound in Approaching to Uterine Intracavitary Pathologies Among Women Above 40 Years with Abnormal Uterine Bleeding

Nguyen

2022

Journal of Mid-Life Health

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Objectives: To determine the role of B-mode ultrasonography combined with Doppler ultrasonography in diagnosing uterine intracavitary pathology in perimenopausal and postmenopausal women with abnormal uterine bleeding (AUB). Patients and Methods: This prospective observational study included 150 women aged >40 years with AUB hospitalized at Hue University Hospital and Hue Central Hospital between 6/2016 and 6/2019. All participants were investigated by B-mode transvaginal ultrasound and Doppler transvaginal ultrasound, and the result of sonography was compared to the histopathological endpoint. Results: The morphological features, structure, margin, border line of the endometrial-mass lesion, intracavitary uterine fluid, and Doppler signal clearly differed between benign and malignant intracavitary pathologies (P < 0.0001). However, echogenicity had a limited value in distinguishing between uterine intracavitary pathologies (P = 0.1). The sensitivity and specificity of the pedicle sign in diagnosing endometrial polyps were 50.0% and 97.6%, respectively; for the circular pattern in subendometrial fibroids were 46.2% and 100.0%, respectively; for the multiple vessel pattern in endometrial cancer were 64.0% and 96.0%, respectively, and for the scattered-vessel pattern in endometrial hyperplasia were 43.96% and 56.43%, respectively. Conclusions: Ultrasound B-mode combined with Doppler as a noninvasive tool was significantly valuable in the diagnostic procedures for uterine intracavitary pathology in perimenopausal and postmenopausal women with AUB. It could also help differentiate malignant diseases from benign endometrial changes.

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Section: Discussionmentioning

confidence: 99%

Combination of B-Mode Ultrasound and Doppler Ultrasound in Approaching to Uterine Intracavitary Pathologies Among Women Above 40 Years with Abnormal Uterine Bleeding

Nguyen

2022

Journal of Mid-Life Health

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“…12,13 El Kady et al study revealed that, atrophic endometrium was the most common finding (26/90=28.9%), hyperplasia without atypia in (36/90=40.0%), hyperplasia with atypia (18/90=20.0%) and endometrial carcinoma was found in (10/90=11.11%). 14 Ebrashy et al examined 65 cases by both TVS 2D and 3D ultrasound and the results were by 2D ultrasound: 20% were normal, 10.67% showing endometrial polyps, 44.61% having myomas either single or multiple, 18.46% had thickened endometrium while by 3D ultrasound: 13.84% were normal. 15 Odeh et al evaluated the accuracy of endometrial volume measurement in the diagnosis of endometrial carcinoma and endometrial hyperplasia and found that 17.9% of patients had an endometrial polyp, 12.5% had hyperplasia and 7.6% had endometrial carcinoma.…”

Section: Discussionmentioning

confidence: 99%

The diagnostic value of endometrial thickness and volume measurements by transvaginal three-dimensional ultrasound in patients with perimenopausal bleeding

Atia

Namoury

Farhat

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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Background: Endometrial hyperplasia (EH) represents a spectrum of irregular morphological alterations, whereby abnormal proliferation of the endometrial gland results in increased thickness of endometrial tissue with alterations of glandular architecture (shape and size) and in an increase in gland-to-stroma ratio when compared to endometrium from the proliferative phase pf the cycle. The aim of this study was to detect the role of measurement of endometrial thickness and volume by transvaginal three-dimensional ultrasound as predictors of abnormal endometrial pathology in women with peri menopausal abnormal uterine bleeding.Methods: This study was conducted at the department of obstetrics and gynecology of Tanta University Hospital. The cases were selected from admitted patient suffering from perimenopausal uterine bleeding. The study started after protocol approval from 2020 to 2022. The calculated sample size was 50 cases. The studied cases were subjected to 3D-TVS measuring endometrial volume and endometrial thickness, study uterine size, shape, endometrial curettage and histopathological examination.Results: Regarding provisional diagnosis by ultrasound in the examined patients, the most frequent diagnosis was benign endometrial pathology: 46% (n=23) of all cases then endometrial hyperplasia 44% (n=22) then endometrial carcinoma 10% (n=5), there was statistically significant difference between the three endometrial pathologies regarding endometrial thickness (p˂0.001), and endometrial volume (p˂0.001).There was statistically significant difference between the benign endometrial pathology and endometrial carcinoma regarding endometrial thickness (p˂0.001), and endometrial volume (p˂0.001).There was statistically significant difference between the endometrial hyperplasia and endometrial carcinoma regarding endometrial thickness (p˂0.001), and endometrial volume (p˂0.001).Conclusions: From our study we conclude that histopathological examination of the endometrium is the gold standard for diagnosis or exclusion of endometrial pathology. 3D ultrasound is a reasonably accurate, helpful, and non-invasive tool for assessing the endometrium.

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Correlation between Endometrial Histopathology in Postmenopausal Uterine Bleeding and Transvaginal Colour Doppler

Cited by 2 publications

References 3 publications

Combination of B-Mode Ultrasound and Doppler Ultrasound in Approaching to Uterine Intracavitary Pathologies Among Women Above 40 Years with Abnormal Uterine Bleeding

Combination of B-Mode Ultrasound and Doppler Ultrasound in Approaching to Uterine Intracavitary Pathologies Among Women Above 40 Years with Abnormal Uterine Bleeding

The diagnostic value of endometrial thickness and volume measurements by transvaginal three-dimensional ultrasound in patients with perimenopausal bleeding

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