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ASSESSMENT OF ENDOMETRIUM USING TRANSVAGINAL SONOGRAPHIC ENDOMETRIAL THICKNESS AND ENDOMETRIAL BIOPSY IN PERIMENOPAUSAL ABNORMAL UTERINE BLEEDING
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Background: Abnormal uterine bleeding (AUB) is a major gynecological problem in perimenopausal and
postmenopausal age group.Aim:This study is intended to investigate the association between endometrial thickness in
transvaginal sonography (TVS), the results of endometrial biopsy in perimenopausal women with AUB and to evaluate
the combined use in diagnosis of endometrial lesions. Materials And Method: A retrospective study of 250
perimenopausal women with AUB were enrolled. Data was analyzed using SPSS V 22.0. Results: 160 samples were
identified to be benign lesions, 85 were with Hyperplasia and 5 were Malignant. The mean endometrial thickness in
subgroup benign were 6.57± 3.06 mm and Malignancy were 17.97±2.79mm. The sensitivity of endometrial biopsy to
identify Hyperplasia with or without Atypia was 93.5% and carcinoma was 100%.Conclusion: The study infers that as
the endometrial thickness rises the chances of getting abnormal endometrial histological finding increases. A cut-off
point of 10.50mm for endometrial thickness using transvaginal ultrasound can predict the results of Pipelle endometrial
sampling well
Title: ASSESSMENT OF ENDOMETRIUM USING TRANSVAGINAL SONOGRAPHIC ENDOMETRIAL THICKNESS AND ENDOMETRIAL BIOPSY IN PERIMENOPAUSAL ABNORMAL UTERINE BLEEDING
Description:
Background: Abnormal uterine bleeding (AUB) is a major gynecological problem in perimenopausal and
postmenopausal age group.
Aim:This study is intended to investigate the association between endometrial thickness in
transvaginal sonography (TVS), the results of endometrial biopsy in perimenopausal women with AUB and to evaluate
the combined use in diagnosis of endometrial lesions.
Materials And Method: A retrospective study of 250
perimenopausal women with AUB were enrolled.
Data was analyzed using SPSS V 22.
Results: 160 samples were
identified to be benign lesions, 85 were with Hyperplasia and 5 were Malignant.
The mean endometrial thickness in
subgroup benign were 6.
57± 3.
06 mm and Malignancy were 17.
97±2.
79mm.
The sensitivity of endometrial biopsy to
identify Hyperplasia with or without Atypia was 93.
5% and carcinoma was 100%.
Conclusion: The study infers that as
the endometrial thickness rises the chances of getting abnormal endometrial histological finding increases.
A cut-off
point of 10.
50mm for endometrial thickness using transvaginal ultrasound can predict the results of Pipelle endometrial
sampling well.
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