Transvaginal Ultrasonographic Evaluation of the Endometrium Related to the Histological Findings in Pre- and Perimenopausal Women

Bakos, Oddvar; Heimer, Gun

doi:10.1159/000009956

Cited by 16 publications

(10 citation statements)

References 17 publications

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“…The authors concluded that determining the upper limit of the ET in premenopausal women is useful in the clinical practice of office gynecology. In fact, in some reports that evaluated the efficacy of TVS for endometrial diseases in premenopausal women, the cut‐off value of the ET was determined without considering the menstrual cycle . The incidence of endometrial hyperplasia has been reported to be high in women with polycystic ovary syndrome or anovulation and it also has been reported that obesity and hypertension show a positive correlation with the ET.…”

Section: Discussionmentioning

confidence: 99%

“…Several reports have been published concerning the efficacy of TVS for endometrial cancer or hyperplasia in premenopausal women . One study performed TVS and dilatation and curettage (D&C) in 111 premenopausal women with AGB and reported that the median ET was 10.5 mm for all the women, while the recommended cut‐off value was 8.0 mm, the sensitivity was 83.9%, and the specificity was 58.8% .…”

Section: Discussionmentioning

confidence: 99%

“…In addition, another study performed TVS and endometrial cytology in 144 women with AGB and reported that the median ET was 9.4 mm for all the women and that the recommended cut‐off value was 8.0 mm, the sensitivity was 83.6%, and the specificity was 56.4% . Furthermore, one report analyzed 196 women who underwent a scheduled D&C and reported that the median ET was 9.1 mm for the women in the proliferative phase and 10.8 mm for the women in the secretory phase, while the recommended cut‐off value was 10.0 mm, the sensitivity was 44%, and the specificity was 56% . Another report examined 367 women and reported that the median ET was 12.2 mm in the women with AGB, compared to 9.4 mm in the women without symptoms.…”

Section: Discussionmentioning

confidence: 99%

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Measurement of endometrial thickness in premenopausal women in office gynecology

Tsuda

Ito

Todo

et al. 2017

Reprod Medicine & Biology

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PurposeTo define the median endometrial thickness (ET) in office gynecology is thought to be important for clinical practice. However, there are few reports about ET that have included the general female population on a large scale. The median ET was determined prospectively in premenopausal women who attended office gynecology for cervical cancer screening.MethodsIn total, 849 women were enrolled. The median ET was determined by using transvaginal ultrasound and the relationships between the ET and various clinical factors were analyzed.ResultsThe participants' median age was 38.5 years. The median ET was 8.6 mm (90% and 95% quantiles: 13.8 and 15.8 mm). The ET was not related to their age, symptoms, obstetric history, geographical location, or risk factors for endometrial cancer. In the women with a menstrual cycle length of 28–30 days, the ET was 7 mm on days 1–6, but it increased from 5.4 mm immediately after menstruation (day 7 or 8) to 9.2 mm on days 13–14. Subsequently, the ET increased further to 11.1 mm on day 18.ConclusionIn all the women, the upper limit of the ET was 13.8 mm and 15.8 mm in the 90% and 95% quantile, respectively, in office gynecology.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Measurement of endometrial thickness in premenopausal women in office gynecology

Tsuda

Ito

Todo

et al. 2017

Reprod Medicine & Biology

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“…This procedure has two main drawbacks: first, it is an invasive procedure and has to be done under suitable anaesthesia; second, it may miss lesions such as polyps or endometrial carcinoma in not less than 10% of cases. 3 Hysteroscopy is another method that allows direct visualisation of the uterine cavity that can be used as an office technique in the evaluation of endometrial disorders. But due to its invasive nature, cost, limited use and lack of user skill, it cannot be made available everywhere, especially in economically burdened areas like ours.…”

Section: Introductionmentioning

confidence: 99%

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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“…For the direct diagnosis of endometrial pathology, TVS can reach a higher sensitivity once endometrial thickness is taken into account 9 . Transvaginal ultrasonography is as effective as the D&C (Dilatation and Curettage) for depicting the endometrium in pre, peri and post menopausal women with irregular bleedings 10 . On the basis of above facts this study is designed to establish the role of TVS as a sensitive tool used for evaluation of endometrial carcinoma.…”

Section: Introductionmentioning

confidence: 99%

Role of transvaginal sonography in the detection of endometrial carcinoma

Nabi

Khondker

et al. 2014

Bangladesh Med Res Counc Bull

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Transvagival sonography is superior to transabdominal sonography in most cases of pelvic pathology. Objective of this study is to evaluate the clinical usefulness of transvaginal ultrasonography (TVS) in pre, peri and post menopausal women suspected to have endometrial carcinoma. This cross sectional study was done with 40 patients who are clinically suspected having thickened endometrium. The study was carried out January 2007 to November 2008 for a period of two years. The patients having endometrial carcinoma diagnosed by TVS was correlated with histopathological diagnosis following collection of the report from the respective cases. Of total 40 cases, 2(5.0%) cases were endometrial carcinoma and 38(95.0%) were negative for endometrial carcinoma respectively in TVS findings. On the other hand 3(7.5%) cases were endometrial carcinoma and 37 (92.5%) cases were negative for endometrial carcinoma in histopathological findings. The validity of TVS in diagnosis of endometrial carcinoma were studied by calculating sensitivity, specificity, accuracy, positive predictive value and negative predictive value, which were 67 percent, 100 percent, 98 percent, 100 percent and 97 percent respectively. As the TVS findings of the present study correlated well with the histopathology findings and the validity test values were higher than observed by others, it can be concluded that TVS is sensitive and accurate modality in the evaluation of endometrial carcinoma.

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Transvaginal Ultrasonographic Evaluation of the Endometrium Related to the Histological Findings in Pre- and Perimenopausal Women

Abstract: Our data indicate that transvaginal ultrasonography is as effective as the D&C for depicting the endometrium in pre- and perimenopausal women with irregular bleedings.

Cited by 16 publications

References 17 publications

Measurement of endometrial thickness in premenopausal women in office gynecology

Measurement of endometrial thickness in premenopausal women in office gynecology

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

Role of transvaginal sonography in the detection of endometrial carcinoma

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