[Vaginosonographic measurement of the postmenopausal endometrium in the early detection of endometrial cancer].
Vaginosonographic measurements of the endometrium were performed in 155 postmenopausal women without abnormal gynecological findings and free of any clinical symptoms. An endometrial thickness of greater than or equal to 4 mm was clarified histologically by means of a curettage. We found endometrial carcinomas in seven cases, cervical carcinomas in one, endometrial polyps in ten and glandular-cystic hyperplasia in three cases. One patient showed an atrophic endometrium associated with a submucous myoma. In total, endometrial carcinomas were detected by sonography in 4.5% of our patients. On the basis of our preliminary results, we conclude that vaginosonographic examination of the endometrium is a highly sensitive (81%) and specific (89%) method, with good acceptance by the patients, in the detection of asymptomatic benign and malignant neoplasms of the postmenopausal woman.
Osmers
R
R
Universitäts-Frauenklinik der Universität Göttingen.
Völksen
M
M
Rath
W
W
Teichmann
A
A
Kuhn
W
W
D000368:Aged; D000369:Aged, 80 and over; D004714:Endometrial Hyperplasia / Q000175:diagnosis; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis; D008875:Middle Aged; D011127:Polyps / Q000175:diagnosis; D014463:Ultrasonography / Q000379:methods*; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis; D014594:Uterine Neoplasms / Q000175:diagnosis*; D014599:Uterus / Q000473:pathology; D014621:Vagina
Vaginosonographische Messungen des postmenopausalen Endometriums zur Früherkennung des Endometriumkarzinoms.