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Hysteroscopic assessment of postmenopausal endometrial thickening
INTRODUCTION: Endometrial thickness is measured by transvaginal sonography and thickening indicates an increased risk of malignancy or other pathology (hyperplasia or polyp) in the postmenopausal period. The main screening methods for the uterine cavity are dilatation and curettage, and hysteroscopy...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4352917/ https://www.ncbi.nlm.nih.gov/pubmed/26327874 http://dx.doi.org/10.5114/pm.2014.47985 |
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author | Korkmazer, Engin Solak, Neşe Üstünyurt, Emin |
author_facet | Korkmazer, Engin Solak, Neşe Üstünyurt, Emin |
author_sort | Korkmazer, Engin |
collection | PubMed |
description | INTRODUCTION: Endometrial thickness is measured by transvaginal sonography and thickening indicates an increased risk of malignancy or other pathology (hyperplasia or polyp) in the postmenopausal period. The main screening methods for the uterine cavity are dilatation and curettage, and hysteroscopy. We sought to correlate hysteroscopic and pathological findings in asymptomatic postmenopausal women with sonographically thickened endometrium (> 5 mm) in this study. MATERIAL AND METHODS: This retrospective cross-sectional study involved case records of 197 women who have thickened (> 5 mm) endometrium in the postmenopausal period. All these women underwent hysteroscopy with diagnostic dilatation and curettage between January 2012 and January 2013 at the Bursa Zübeyde Hanım Maternity Hospital. Sensitivity, specificity, positive, negative predictive values and p value of hysteroscopy were calculated. Dilatation and curettage was set as the gold standard. RESULTS: For the evaluation of postmenopausal thickened endometrium, hysteroscopy revealed sensitivity, specificity, positive predictive value and negative predictive value as 76.4%, 76.9%, 73.1%, 79.8%, respectively. CONCLUSIONS: Hysteroscopy is a fast and accurate technique in evaluation of the intrauterine space occupying lesions (polyp, fibroid) but only moderate for endometrial hyperplasia. Hysteroscopic view combined with direct biopsy could be a gold standard for endometrial assessment. |
format | Online Article Text |
id | pubmed-4352917 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-43529172015-08-31 Hysteroscopic assessment of postmenopausal endometrial thickening Korkmazer, Engin Solak, Neşe Üstünyurt, Emin Prz Menopauzalny Original Paper INTRODUCTION: Endometrial thickness is measured by transvaginal sonography and thickening indicates an increased risk of malignancy or other pathology (hyperplasia or polyp) in the postmenopausal period. The main screening methods for the uterine cavity are dilatation and curettage, and hysteroscopy. We sought to correlate hysteroscopic and pathological findings in asymptomatic postmenopausal women with sonographically thickened endometrium (> 5 mm) in this study. MATERIAL AND METHODS: This retrospective cross-sectional study involved case records of 197 women who have thickened (> 5 mm) endometrium in the postmenopausal period. All these women underwent hysteroscopy with diagnostic dilatation and curettage between January 2012 and January 2013 at the Bursa Zübeyde Hanım Maternity Hospital. Sensitivity, specificity, positive, negative predictive values and p value of hysteroscopy were calculated. Dilatation and curettage was set as the gold standard. RESULTS: For the evaluation of postmenopausal thickened endometrium, hysteroscopy revealed sensitivity, specificity, positive predictive value and negative predictive value as 76.4%, 76.9%, 73.1%, 79.8%, respectively. CONCLUSIONS: Hysteroscopy is a fast and accurate technique in evaluation of the intrauterine space occupying lesions (polyp, fibroid) but only moderate for endometrial hyperplasia. Hysteroscopic view combined with direct biopsy could be a gold standard for endometrial assessment. Termedia Publishing House 2014-12-30 2014-12 /pmc/articles/PMC4352917/ /pubmed/26327874 http://dx.doi.org/10.5114/pm.2014.47985 Text en Copyright © 2014 Termedia http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Paper Korkmazer, Engin Solak, Neşe Üstünyurt, Emin Hysteroscopic assessment of postmenopausal endometrial thickening |
title | Hysteroscopic assessment of postmenopausal endometrial thickening |
title_full | Hysteroscopic assessment of postmenopausal endometrial thickening |
title_fullStr | Hysteroscopic assessment of postmenopausal endometrial thickening |
title_full_unstemmed | Hysteroscopic assessment of postmenopausal endometrial thickening |
title_short | Hysteroscopic assessment of postmenopausal endometrial thickening |
title_sort | hysteroscopic assessment of postmenopausal endometrial thickening |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4352917/ https://www.ncbi.nlm.nih.gov/pubmed/26327874 http://dx.doi.org/10.5114/pm.2014.47985 |
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