Transvaginal ultrasound, uterine biopsy and hysteroscopy for postmenopausal bleeding

Transvaginal ultrasound, uterine biopsy and hysteroscopy for postmenopausal bleeding

Autor GiusaChiferi, M. G. Google Scholar
Goncalves, Wagner Jose Autor UNIFESP Google Scholar
Baracat, E. C. Google Scholar
Neto, LCD Google Scholar
Bortoletto, CCR Google Scholar
de Lima, G. R. Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Objectives: To determine the importance of endometrial biopsy and transvaginal ultrasound in patients with postmenopausal bleeding. Methods: Eighty patients with postmenopausal bleeding were submitted to transvaginal ultrasound followed by endometrial biopsy. Hysteroscopy and dilatation and curettage were carried out to confirm normality of the uterine cavity. Results: the endometrial echo could be visualized in all patients with postmenopausal bleeding. the biopsy failed to detect one case (1.38%) of adenocarcinoma and 14 cases (17.5%) of endometrial polyps. the sensitivity in detecting endometrial malignancy was 94.44% for endometrial biopsy and 100% for transvaginal ultrasound, when the endometrial thickness was more than 8 mm. Conclusions: When the thickness of the endometrial echo is less than 3 mm there is no need for anatomopathologic investigation. When this limit was adopted, all cases were associated with endometrial atrophy, and when the limit was 4 mm or more, active endometria were detected, requiring further histopathologic investigation by hysteroscopy and directed biopsies. Above 8 mm, malignancy may be found.
Palavra-chave transvaginal ultrasound
endometrial biopsy
hysteroscopy
postmenopausal bleeding
Idioma Inglês
Data de publicação 1996-10-01
Publicado em International Journal of Gynecology & Obstetrics. Clare: Elsevier Sci Ireland Ltd, v. 55, n. 1, p. 39-44, 1996.
ISSN 0020-7292 (Sherpa/Romeo, fator de impacto)
Publicador Elsevier B.V.
Extensão 39-44
Fonte http://dx.doi.org/10.1016/0020-7292(96)02720-8
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:A1996VP67900007
Endereço permanente http://repositorio.unifesp.br/handle/11600/25628

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