Comparetive study between saline sonohysterography, transvaginal ultrasound and biopsy in evaluation of endometrial disease in postmenopausal bleeding
Author
Source
Journal of the Faculty of Medicine Baghdad
Issue
Vol. 55, Issue 1 (31 Mar. 2013), pp.14-19, 6 p.
Publisher
University of Baghdad Faculty of Medicine
Publication Date
2013-03-31
Country of Publication
Iraq
No. of Pages
6
Main Subjects
Topics
Abstract EN
Background : Transvaginal ultrasound is used conventionally as initial investigation of patients with postmenopausal bleeding, but saline contrast sonohysterography is a better technique to reliably distinguish focal from diffuse endometrial lesion.
Objectives : to compare the ability of transvaginal ultrasonography and saline infusion sonohysterography as initial modality for the diagnosis of endometrial abnormalities in women with PMB by correlating the results with endometrial biopsy.
Patients and methods : During the period from November 2011 to MAY 2012, 40 female patients with postmenopausal bleeding were submitted to sequential examination by transvaginal ultrasound ,and sonohysterography.
The presence of focal endometrial lesions and type of lesion (endometrial hyperplasia, polyp, submucous myoma, or malignancy )were noted.
predictive values were calculated by correlating the results with final diagnosis reached by endometrial biopsy.
Result : The sonohysterography had 89.4 % sensitivity and 90 % specificity, DA 90 %, compared to 60 % sensitivity and 70 % specificity achieved by transvaginal sonography.
The diagnostic performance of sonohysterography for 3 main endometrial abnormalities (i.e.
endometrial hyperplasia ,polyps and submucous myoma) was better than transvaginal sonography.
The best results were seen in cases of submucos myoma where sensitivity and specificity of sonohysterography reached to 100 % as compared to TVS (66 % and 95.24 % respectively).
Conclusion : The results have substantiated that sonohysterography is a better tool than transvaginal sonography for the assessment of endometrial intra-cavity lesion .by providing accurate differentiation between focal and diffuse endometrial lesions.
American Psychological Association (APA)
Ahmad, Layth. 2013. Comparetive study between saline sonohysterography, transvaginal ultrasound and biopsy in evaluation of endometrial disease in postmenopausal bleeding. Journal of the Faculty of Medicine Baghdad،Vol. 55, no. 1, pp.14-19.
https://search.emarefa.net/detail/BIM-336354
Modern Language Association (MLA)
Ahmad, Layth. Comparetive study between saline sonohysterography, transvaginal ultrasound and biopsy in evaluation of endometrial disease in postmenopausal bleeding. Journal of the Faculty of Medicine Baghdad Vol. 55, no. 1 (2013), pp.14-19.
https://search.emarefa.net/detail/BIM-336354
American Medical Association (AMA)
Ahmad, Layth. Comparetive study between saline sonohysterography, transvaginal ultrasound and biopsy in evaluation of endometrial disease in postmenopausal bleeding. Journal of the Faculty of Medicine Baghdad. 2013. Vol. 55, no. 1, pp.14-19.
https://search.emarefa.net/detail/BIM-336354
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 18-19
Record ID
BIM-336354