The Journal of the American Association of Gynecologic Laparoscopists · 2002
Comparison of transvaginal ultrasound, hysteroscopy, and dilatation and curettage in the diagnosis of abnormal vaginal bleeding and intrauterine pathology in perimenopausal and postmenopausal women.
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Deckardt R, Lueken R P, Gallinat A, Möller C P, Busche D, Nugent W, Salfelder A, Dohnke H, Hoffmeister U, Dewitt E, Hennefründ J, Hasskamp T, Krichbaum M, Maucher A, Auweiler U, Brökelmann J, Saks M, Füger T
Аннотация
STUDY OBJECTIVE: To compare transvaginal ultrasound, hysteroscopy, and dilation and curettage (D&C) in the evaluation of women with perimenopausal and postmenopausal bleeding.
DESIGN: Descriptive study (Canadian Task Force classification II-1).
SETTING: Seven outpatient clinics.
PATIENTS: One thousand two hundred eighty-six women.
INTERVENTION: Transvaginal ultrasound, hysteroscopy, and D&C.
MEASUREMENTS AND MAIN RESULTS: Of our patient population, 29 (2.26%) had a histologic diagnosis of endometrial carcinoma; in 2 of them (7.14%) endometrial thickness was 5 mm or less. In 10 women (34.5%), endometrial carcinoma was missed by hysteroscopy (sensitivity 65.52%, specificity 99.92%). Complication rate of D&C was 1.4%.
CONCLUSION: In women with perimenopausal and postmenopausal bleeding neither transvaginal ultrasound nor hysteroscopy as a single diagnostic tool is suitable to rule out endometrial cancer.
DESIGN: Descriptive study (Canadian Task Force classification II-1).
SETTING: Seven outpatient clinics.
PATIENTS: One thousand two hundred eighty-six women.
INTERVENTION: Transvaginal ultrasound, hysteroscopy, and D&C.
MEASUREMENTS AND MAIN RESULTS: Of our patient population, 29 (2.26%) had a histologic diagnosis of endometrial carcinoma; in 2 of them (7.14%) endometrial thickness was 5 mm or less. In 10 women (34.5%), endometrial carcinoma was missed by hysteroscopy (sensitivity 65.52%, specificity 99.92%). Complication rate of D&C was 1.4%.
CONCLUSION: In women with perimenopausal and postmenopausal bleeding neither transvaginal ultrasound nor hysteroscopy as a single diagnostic tool is suitable to rule out endometrial cancer.