Predictive value of hysteroscopic examination in intrauterine abnormalities

Birinyi, László; Daragó, Péter; Török, Péter; Csiszár, P; Major, Tamás; Borsos, A; Bacskó, György

doi:10.1016/j.ejogrb.2003.09.048

Cited by 50 publications

(16 citation statements)

References 3 publications

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“…22 Endometrial evaluation among postmenopausal women is a topic of ongoing debate in the literature. There is a trend towards investigating intracavitary uterine lesions only with postmenopausal bleeding when the endometrial thickness, as measured by ultrasound is > 4 mm 23 . Other authors have recommended systemic collection of biopsies from symptomatic patients 24 regardless of endometrial thickness, because of reports of cancer in patients presenting ultrasoundmeasured endometrial thickness ≤ 5 mm 25 .…”

Section: Discussionmentioning

confidence: 99%

Histopathological Study of Endometrium in Postmenopausal Bleeding

Mallick¹,

Behera²,

Subudhi³

2013

jemds

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Section: Discussionmentioning

confidence: 99%

Histopathological Study of Endometrium in Postmenopausal Bleeding

Mallick¹,

Behera²,

Subudhi³

2013

jemds

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“…There is a trend towards investigating intracavitary uterine lesions only in patients with postmenopausal bleeding when the endometrial thickness, as measured by ultrasound, is > 4 mm. [14][15][16][17][18][19] Other authors have recommended systematic collection of biopsies from symptomatic patients, 20 regardless of endometrial thickness, because of reports of cancer in patients presenting ultrasound-measured endometrial thickness ≤ 5 mm. 5,12,21 The question is at what time, based on ultrasound measurements of endometrial thickness and the patient's history of vaginal bleeding, endometrial sample collection is indicated.…”

Section: Discussionmentioning

confidence: 99%

“…[12][13][14] This method has increasingly been used as an alternative to uterine curettage, 15,16 with the advantage of enabling directed or guided biopsies of small lesions.…”

Section: Introductionmentioning

confidence: 99%

Hysteroscopy as a standard procedure for assessing endometrial lesions among postmenopausal women

et al. 2007

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CONTEXT AND OBJECTIVES: Endometrial cancer is the most prevalent type of malignant neoplasia of the genital tract. The objective of this study was to calculate the sensitivity, specificity, accuracy and positive and negative predictive values for diagnostic hysteroscopy, in comparison with histopathological tests, for all lesions of the endometrial cavity. DESIGN AND SETTING: Retrospective descriptive study at the public tertiary-level university hospital of Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo. METHODS: Diagnostic hysteroscopy was indicated in the following instances: endometrial thickness > 4 mm in asymptomatic patients; postmenopausal bleeding; and irregular endometrium or endometrium difficult to assess from ultrasound, with or without vaginal bleeding. Ultrasound evaluations were carried out no more than three months prior to hysteroscopy. RESULTS: There were 510 patients, with a mean age of 61.1 ± 2.0 years and mean time elapsed since the menopause of 12.7 ± 2.5 years. Endometrial biopsies were performed on 293 patients (57.5%). Histopathological analysis showed that 18 patients presented endometrial carcinoma or typical or atypical hyperplasia, and none of them presented endometrial thickness of less than 8 mm. No significant differences were found between the median thicknesses of the various benign lesions (p > 0.05). In our data, the sensitivity, specificity, accuracy and positive and negative predictive values for cancer or hyperplasia were 94.4%, 97.0%, 96.8%, 68% and 99.6%, respectively. CONCLUSIONS: Our results suggest that hysteroscopy is valuable as a diagnostic tool for malignant/hyperplastic and benign lesions, except for submucous myomas, for which the sensitivity was only 52.6%.

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“…This modality has higher accuracy than any other diagnostic test at identifying endometrial polyps because of the ability to visualize the endometrial pathology [26][27][28]. Another advantage is the ability to resect polyp or other intracavitary pathology at the time of diagnosis.…”

Section: Histologic Diagnosismentioning

confidence: 99%

When Should Endometrial Polyps Be Treated?

Lee

Seibel

Kaunitz

2012

Curr Obstet Gynecol Rep

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Endometrial polyps are localized intrauterine overgrowths of endometrial glands and stroma covered by a surface epithelium. They occur singularly or in multiples, may be sessile or pedunculated, and range from a few millimeters to several centimeters in size. They are common, present in 7.8%-41% of women. Their detection has increased with the advent of high-resolution transvaginal sonography, saline-infusion ultrasonography, and hysteroscopy. Polyps are encountered in both premenopausal and postmenopausal women. Many women are asymptomatic, while others present with abnormal bleeding patterns. Most polyps are benign, but hyperplastic and malignant polyps also may occur. Appropriate management of endometrial polyps includes observation, medication, and surgery. Treatment of these lesions should be tailored to each patient based on their symptoms, menopausal status, risk of malignancy, and fertility desires.

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Predictive value of hysteroscopic examination in intrauterine abnormalities

Cited by 50 publications

References 3 publications

Histopathological Study of Endometrium in Postmenopausal Bleeding

Histopathological Study of Endometrium in Postmenopausal Bleeding

Hysteroscopy as a standard procedure for assessing endometrial lesions among postmenopausal women

When Should Endometrial Polyps Be Treated?

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