US Evaluation of the Uterus in Patients with Postmenopausal Bleeding: A Positive Effect on Diagnostic Decision Making

Bree, Robert L.; Bowerman, Richard A.; Böhm-Vélez, Marcela; Benson, Carol B.; Doubilet, Peter M.; DeDreu, Shar'Ron; Punch, Margaret R.

doi:10.1148/radiology.216.1.r00jl37260

Cited by 79 publications

(56 citation statements)

References 22 publications

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“…The overall sensitivity, specificity, positive predictive value and negative predictive value of the procedure in this study were 92.8%, 81.8%,86% 90% respectively. This correlates well with results in the study conducted by Robert L.Bree et al (1) in which findings yielded a sensitivity of 98%,specificity of 88%, positive predictive value of 94%, and negative predictive value of 97%. In a study by Yildizhan er al (2) , sensitivity and specificity were 91.6% and 98.7% respectively.…”

Section: Discussionsupporting

confidence: 91%

Analyzing the Role of Saline Infusion Sonography in the Characterization of Endometrial Pathologies

Innisai¹

2017

JMSCR

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Section: Discussionsupporting

confidence: 91%

Analyzing the Role of Saline Infusion Sonography in the Characterization of Endometrial Pathologies

Innisai¹

2017

JMSCR

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“…It occurs primarily after menopause and in most cases presents with vaginal bleeding [1]. However, postmenopausal vaginal bleeding is associated with endometrial neoplasia in only about 10% to 30% of the cases [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Office hysteroscopy after ultrasonographic diagnosis of thickened endometrium in postmenopausal patients

et al. 2009

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The aim of our study was to access office hysteroscopy results in postmenopausal patients with thickened endometrium. A retrospective descriptive study was carried out on 245 postmenopausal patients submitted to office hysteroscopy after sonographic diagnosis of thickened endometrium in 20 consecutive months. Women were evaluated for age, hormonal therapy, hysteroscopic findings, procedure duration, complications and associated pain, and histological diagnosis. Patients with and without uterine bleeding were considered separately. Symptomatic patients were older and had longer procedure duration. The most frequent hysteroscopic finding was endometrial polyp in both groups. Pain was subjectively assessed in a numeric scale from 0 to 10 and median value was 4. There were no complications reported. Global neoplasia rate was 2.9% for asymptomatic patients and 16.4% for symptomatic ones (p<0.05). Thickened endometrium with postmenopausal metrorrhagia gave patients a significantly higher risk for neoplasia and hyperplasia.

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“…It is a common problem of perimenopausal or postmenopausal women. 15 A recent meta-analysis found that in postmenopausal women a transvaginal sonography result of 5mm or less endometrial thickness reduced the risk of disease by 84%. 16 but some pathology may be missed by it.…”

Section: Resultsmentioning

confidence: 99%

Comparison of Transvaginal Ultrasonography and Hysteroscopy in the Evaluation of Peri and Postmenopausal Bleeding

Garg¹,

Yadav²

2016

jemds

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Anything that can significantly improve the accuracy of diagnosis, the cause of abnormal uterine bleeding in peri-menopausal and postmenopausal women can reduce the frequency of hysterectomy as a cure. Abnormal uterine bleeding has become more important on 2nd half of twentieth century, because women are experiencing more menstrual cycles during their reproductive life. AIMTo evaluate intrauterine abnormalities in symptomatic peri and postmenopausal bleeding by transvaginal ultrasonography and hysteroscopy. METHODThis prospective study was carried out on 60 patients with peri and postmenopausal bleeding attending Gynaecology OPD at Batra Hospital. RESULTHysteroscopy has higher sensitivity for diagnosing endometrial abnormalities compared to TVS.

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US Evaluation of the Uterus in Patients with Postmenopausal Bleeding: A Positive Effect on Diagnostic Decision Making

Cited by 79 publications

References 22 publications

Analyzing the Role of Saline Infusion Sonography in the Characterization of Endometrial Pathologies

Analyzing the Role of Saline Infusion Sonography in the Characterization of Endometrial Pathologies

Office hysteroscopy after ultrasonographic diagnosis of thickened endometrium in postmenopausal patients

Comparison of Transvaginal Ultrasonography and Hysteroscopy in the Evaluation of Peri and Postmenopausal Bleeding

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