Hysteroscopy with Selective Endometrial Sampling Compared with D &amp; C for Abnormal Uterine Bleeding

Loffer, Franklin D.

doi:10.1097/00006254-198905000-00026

Cited by 110 publications

(91 citation statements)

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“…Despite this, some authors recommend performing the biopsy even when hysteroscopy findings are of atrophied endometrium. 4,20 We did not however detect any discordance between hysteroscopy findings and the histological results from the endometrial samples. All of our endometrial samples, which were obtained by Pipelle suction curette, agreed with the hysteroscopy findings.…”

Section: Discussionmentioning

confidence: 64%

“…However, it has low sensitivity and specificity for post-menopausal endometrial abnormalities and cannot provide an etiologic diagnosis for any lesions found. 2 Uterine curettage, which was the established gold standard for a long time, is no longer recommended as first choice for screening of endometrial cancer, 5 because its successor, diagnostic hysteroscopy with guided biopsy, 3,4 offers high sensitivity and specificity, few contraindications or complications and lower cost, since it can be conducted in an ambulatory setting. 6 Transvaginal ultrasonography, another possibility for screening and diagnosis of endometrial abnormalities, does not alone improve on the results achieved with hysteroscopy and biopsy, but when combined with hysteroscopy and biopsy, it makes endometrial assessment much more precise.…”

Section: Introductionmentioning

confidence: 99%

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Avaliação de morfologia e histologia endometrial de mulheres após a menopausa

Wolff¹,

Monte²,

Atti³

et al. 2010

Rev. Assoc. Med. Bras.

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Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Avaliação de morfologia e histologia endometrial de mulheres após a menopausa

Wolff¹,

Monte²,

Atti³

et al. 2010

Rev. Assoc. Med. Bras.

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“…6 It is generally accepted that endometrial thickness of more than 8 to 10 mm is abnormal in those postmenopausal patients not receiving estrogens, and these women should be evaluated further by histologic sampling. 12,19,20 Many studies have been conducted attempting to correlate ultrasonographic endometrial thickness with endometrial histologic findings in postmenopausal women with bleeding. Some of the studies have shown that most endometrial pathologic conditions were indeed found in patients who demonstrated endometrial thickness greater than 4 to 5 rnrn.…”

Section: Discussionmentioning

confidence: 99%

Doppler flow evaluation of pathologic endometrial conditions in postmenopausal breast cancer patients treated with tamoxifen.

Tepper

Cohen

Altaras

et al. 1994

Journal of Ultrasound in Medicine

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A prospective pilot study was conducted to evaluate the usefulness of uterine artery blood flow in the detection of various pathologic endometrial conditions in 39 asymptomatic postmenopausal breast cancer patients who were treated with tamoxifen. No specific pattern was seen for the uterine artery pulsatility index values in the tamoxifen‐treated patients that could be related to any specific endometrial lesions, nor were any specific changes observed in the pulsatility index value with increasing severity of the pathologic endometrial conditions. Similarly, no correlation was found between ultrasonographically measured endometrial widths and uterine artery pulsatility index values. Thus, although pulsed Doppler flow ultrasonography has been shown previously to be effective in the detection of uterine cancer in non‐tamoxifen‐treated post‐menopausal patients, it probably does not contribute to the assessment of endometrial lesions in post‐menopausal breast cancer patients treated with tamoxifen.

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“…[41][42][43] Consequently, accurate structural evaluation of the endometrial cavity requires imaging usually with ultrasonographic techniques and/or direct inspection with hysteroscopy.…”

Section: Ultrasound Imaging Of Endometrial Cavitymentioning

confidence: 99%

Acute Uterine Bleeding Unrelated to Pregnancy: A Southern California Permanente Medical Group Practice Guideline

Munro

2013

TPJ

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Acute uterine bleeding unrelated to pregnancy has been defined as bleeding "sufficient in volume as to, in the opinion of the treating clinician, require urgent or emergent intervention." The Southern California Permanente Medical Group updated its guidelines for the management of this condition on the basis of the best available evidence, as identified in a systematic review of the available literature. Given the paucity of studies evaluating this condition, the guidelines, by necessity, include recommendations largely based on opinion or other sources such as case series that are, in general, categorized as low-quality evidence. Medical interventions with single or combined gonadal steroidal agents administered parenterally or orally show promise, but more high-quality studies are needed to better define the appropriate drugs, dose, and administrative scheduling. There is also some evidence that intrauterine tamponade may be useful in at least selected cases. Special attention must be paid to both diagnosing and treating inherited disorders of hemostasis, such as von Willebrand disease, that may otherwise be underdiagnosed in both adolescent and adult women.

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Hysteroscopy with Selective Endometrial Sampling Compared with D & C for Abnormal Uterine Bleeding

Cited by 110 publications

References 0 publications

Avaliação de morfologia e histologia endometrial de mulheres após a menopausa

Avaliação de morfologia e histologia endometrial de mulheres após a menopausa

Doppler flow evaluation of pathologic endometrial conditions in postmenopausal breast cancer patients treated with tamoxifen.

Acute Uterine Bleeding Unrelated to Pregnancy: A Southern California Permanente Medical Group Practice Guideline

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