Triage of abnormal postmenopausal bleeding: A comparison of endometrial biopsy and transvaginal sonohysterography versus fractional curettage with hysteroscopy

“…A histero-sonografia vaginal combinada com biópsia do endométrio parece ser confiável na avaliação de mulheres pós-menopáusicas com sangramento uterino 25 . Ademais, esse exame tem sido empregado com freqüência na distinção entre pacientes que apresentam endométrio de espessura mínima e sangram em decorrência de anovulação da perimenopausa ou da atrofia da pós-menopausa, daquelas que apresentam espessamento endometrial e que necessitam de mais investigação 26 .…”

Section: Melki Et Alunclassified

Dilatação e Curetagem na Avaliação do Sangramento Uterino Anormal: Achados Histopatológicos e Relação Custo/Benefício

Melki¹,

Oliveira²,

Filho³

et al. 2000

Rev. Bras. Ginecol. Obstet.

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“…Early and complete investigations are recommended to exclude endometrial pathology [1][2][3][4]. More than 40% of affected women with AUB have been reported to have intrauterine pathologies [5].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The reported incidence of endometrial carcinoma is 5%-17%; therefore, a thorough investigation of women with AUB is warranted [2][3][4]7,8]. Endometrial Office Biopsy (EOB) is one of the initial investigations for women with AUB who are over the age of 40 years [1,3,4,9]. However, most pathological lesions are found to be benign and are most often missed with blind sampling techniques [3,7,[10][11][12].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Diagnostic Accuracy of Saline-Contrast Sonohysterography Guided Biopsy versus Office Biopsy in Endometrial Pathology: an Interventional Study

Al-Tannir¹

2016

Journal of Women's Health and Gynecology

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Purpose : The primary objective of this study is to evaluate the effectiveness of Saline Contrast Sonohysterography guided biopsy (SCSH GB) as compared with Endometrial Office Biopsy (EOB) in diagnosing endometrial pathologies by the adequacy of the sample and comparison of the pathologic diagnosis confirmed by hysteroscopy or hysterectomy (histological and anatomical). Methods:Unselected consecutive 250 patients aged 40 years and above with AUB and abnormal endometrium on transvaginal ultrasound presenting to ultrasound unit and outpatient department at Women Specialized Hospital, King Fahad Medical City, Riyadh, KSA were screened for eligibility in this interventional study. Fifty percent of enrolled patients were initially booked for SCSH GB then scheduled for EOB. Whereas, the remaining 50% underwent EOB first and then had SCSH GB. This method was used to control the issue of insufficient biopsy. The diagnosis was categorized as 1) physiological 2) benign polyp or sub-mucous fibroid and 3) hyperplasia/cancer. Results:Out of 113 patients 93 underwent both SCSH GB and EOB procedures and were entered into final data analysis. SCSH GB (94.6%) achieved significantly higher sample adequacy compared to 86% of EOB (p<0.001). SCSHGB significantly diagnosed all 29 (100%) polyps and sub-mucous fibroids confirmed by hysteroscopy/hysterectomy versus only 8 (27.5%) cases by EOB (p<0.001). Conclusions:The SCSH GB technique can be a reasonable alternative to EOB in pre-and post-menopausal women aged 40 and older with AUB.

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Triage of abnormal postmenopausal bleeding: A comparison of endometrial biopsy and transvaginal sonohysterography versus fractional curettage with hysteroscopy

Cited by 152 publications

References 14 publications

Investigation des métrorragies de la post-ménopause (MPM)

Investigation des métrorragies de la post-ménopause (MPM)

Dilatação e Curetagem na Avaliação do Sangramento Uterino Anormal: Achados Histopatológicos e Relação Custo/Benefício

Diagnostic Accuracy of Saline-Contrast Sonohysterography Guided Biopsy versus Office Biopsy in Endometrial Pathology: an Interventional Study

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