Sonographic and histopathological correlation and evaluation of endometrium in perimenopausal women with abnormal uterine bleeding

Pillai, Shobha S.

doi:10.5455/2320-1770.ijrcog20140323

Cited by 39 publications

(57 citation statements)

References 10 publications

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“…In present study, analysis of patients according to bleeding pattern the most common bleeding pattern was heavy menstrual bleeding (50%) which was comparable to the study by Pillai SS et al 11 . They had 46.5% patients with menstrual complaints of menorrhagia.…”

Section: Distribution According To Bleeding Patternsupporting

confidence: 77%

Evaluation of abnormal uterine bleeding with transvaginal sonography and hysteroscopy in perimenopausal women

Choudhary¹,

Agrawal²,

Jain³

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Abnormal uterine bleeding is defined as any deviation from the normal menstrual cycle this include change in regularity, frequency of menses, duration or amount of bleeding during or in between periods. Objective of present study was to evaluate abnormal uterine bleeding with transvaginal sonography and hysteroscopy in perimenopausal women.Methods: This study is conducted on women presenting to the gynecological OPD with complain of abnormal uterine bleeding in perimenopausal age group. A total of 50 patients were subjected to transvaginal sonography and Diagnostic hysteroscopy.Results: On TVS, out of total 50 patients, 50% patient showed normal endometrial finding. 24% Patient showed Endometrial hyperplasia, 14% Endometrial Polyp, 8% Submucosal fibroid, 4% Adenomyosis. On TVS, out of total 50 patient, 50% patient showed normal endometrial finding. 24% Patient showed endometrial hyperplasia, 14% endometrial Polyp, 8% submucosal fibroid, 4% adenomyosis. Out of total 50 patients, 28 (56%) showed normal endometrial finding.20% cases showed endometrial Hyperplasia, 16% showed endometrial Polyp, 8% showed submucosal fibroid. Sensitivity, specificity, PPV, NPV of endometrial hyperplasia – 81.81%, 92.3%, 75%, 94.73% respectively.Conclusions: Transvaginal sonography has a moderate diagnostic accuracy in detecting endometrial hyperplasia and other intrauterine pathology. TVS is safe, acceptable and easily available & is noninvasive. It should be used as 1st line diagnostic tool in patients with AUB in perimenopausal women. Hysteroscopy has important tool in the diagnosis of various endometrial and intrauterine lesions TVS and hysteroscopy should be employed hand in hand in evaluation of AUB.

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Section: Distribution According To Bleeding Patternsupporting

confidence: 77%

Evaluation of abnormal uterine bleeding with transvaginal sonography and hysteroscopy in perimenopausal women

Choudhary¹,

Agrawal²,

Jain³

2017

Int J Reprod Contracept Obstet Gynecol

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show abstract

“…Shobha S. Pillai et al, 12 reported maximum incidence of fibroid uterus (55.7%) in her study, as an associated clinical finding.…”

Section: Resultsmentioning

confidence: 58%

“…In a similar study of Shobha S. Pillai et al, 12 maximum patients had proliferative phase endometrium and presented with menorrhagia.…”

Section: Resultsmentioning

confidence: 79%

A study of role of colour Doppler in evaluation of abnormal uterine bleeding at medicine and gynecology departments at a tertiary care institute of central India

Bhattacharjee

Jamra

Sharma

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…Pyari et al 16 found mean endometrial thickness of 17.1 ± 2.10 mm in endometrial hyperplasia, 10.5 ± 2.89 mm in endometrial polyps, 8.76 ± 1.87 mm in the functional endometrium. Pillai et al 17 found that on TVS examination, an endometrial thickness between 5 and 9.9 mm is common. Mean ET was found to be 10.22 ± 3.08 (2-16 mm).…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Transvaginal Sonography and Hysteroscopy for the Detection of Endometrial Lesions in Women with Abnormal Uterine Bleeding in Perimenopausal Age Group

Shukla¹,

Acharya²,

Gadge³

et al. 2018

Journal of South Asian Federation of Obstetrics and Gynaecology

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Aim:The aim of the study is to compare the diagnostic accuracy of transvaginal ultrasound and hysteroscopy correlated with histopathology in evaluation of endometrial lesions in perimenopausal women with abnormal uterine bleeding. Settings and design:A cross-sectional study done in Department of Gynecology, from August 2015 to June 2017. Materials and methods:A total of 100 perimenopausal women with abnormal uterine bleeding (AUB) were included in the age group 40 to 55 years. Transvaginal ultrasound (TVS), hysteroscopy and endometrial biopsy were performed on all patients. Findings were compared with histopathogical examination taken as gold standard.Results: Menorrhagia was most common bleeding pattern seen in 44% cases. The TVS findings in correlation with HPE where fibroid and hyperplasia with polyp were 100% diagnosed while hyperplasia, polyp and normal findings were diagnosed 53.33%, 88.89% and 53.33% respectively. Hysteroscopy findings in correlation with HPE where fibroid, hyperplasia and hyperplasia with polyp were 100% diagnosed while polyp and normal findings were diagnosed 83.33%, 73.33% respectively. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy of TVS and hysteroscopy were 82.05%, 72.73%, 91.43%, 53.33%, 80% and 89.74%, 100%, 100%, 73.33%, 92% respectively. Conclusion:We conclude that TVS is a good diagnostic initial modality for the diagnosis of endometrial lesions in AUB. But hysteroscopy should be done as a basic investigation even in cases where TVS is normal and endometrial biopsy should be taken where hysteroscopy shows normal findings.

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Sonographic and histopathological correlation and evaluation of endometrium in perimenopausal women with abnormal uterine bleeding

Abstract: Long anovulatory periods with unopposed estrogen stimulation may result in endometrial hyperplasia, thus increasing the risk of endometrial cancers. Therefore,

Cited by 39 publications

References 10 publications

Evaluation of abnormal uterine bleeding with transvaginal sonography and hysteroscopy in perimenopausal women

Evaluation of abnormal uterine bleeding with transvaginal sonography and hysteroscopy in perimenopausal women

A study of role of colour Doppler in evaluation of abnormal uterine bleeding at medicine and gynecology departments at a tertiary care institute of central India

Comparative Study of Transvaginal Sonography and Hysteroscopy for the Detection of Endometrial Lesions in Women with Abnormal Uterine Bleeding in Perimenopausal Age Group

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