[Ultrasound assessment of the postmenopausal endometrium. Is measuring thickness adequate?].
Sonographic assessment of the endometrium in postmenopausal women is generally based on total thickness as only criterion. The cut-off values recommended in literature, however, vary considerably. The purpose of this study was to examine the significance of sono-morphology besides biometry of the endometrium. If vaginosonography showed an endometrial thickness of 3 mm or less, all histological findings were inconspicuous; beginning at a thickness of 10 mm only hyperplasias, polyps and carcinomas were found. In the range between, including more than one-third of our patients, the structure can point out the type of histology: Homogeneity, low echogeneity and a median echo are not important findings, but inhomogeneity and high echogeneity point to pathological changes of the endometrium. Using combined, metric-structural criteria in vaginosonography of the endometrium, not only the predictivity, but above all the selectivity is improved.
Weigel
M
M
Frauenklinik am Klinikum Mannheim, Fakultät für klinische Medizin, Universität Heidelberg.
Friese
K
K
Strittmatter
H J
HJ
Melchert
F
F
D000236:Adenoma / Q000000981:diagnostic imaging; D000368:Aged; D000369:Aged, 80 and over; D002277:Carcinoma / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004714:Endometrial Hyperplasia / Q000000981:diagnostic imaging*; D016889:Endometrial Neoplasms / Q000000981:diagnostic imaging*; D004717:Endometrium / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008875:Middle Aged; D011127:Polyps / Q000000981:diagnostic imaging; D012016:Reference Values; D014463:Ultrasonography
Sonographische Beurteilung des postmenopausalen Endometriums. Ist die Messung der Dicke ausreichend?