[Transvaginal echography in patients with postmenopausal metrorrhagia].
Forty-one postmenopausal patients with abnormal uterine bleeding were scheduled for endometrial sampling in a week from the measurement of endometrial thickness by transvaginal ultrasonography. If the cut-off limit was 5 mm, the endometrial thickness was correlated with the presence of pathologic endometrium with a sensitivity of 87.5%, a specificity of 76%, a positive predictive value of 70% and a negative predictive value of 90.5%. Endometrial hyperplasia and polyp represented the two false negative cases. Waiting for a study on a sufficiently large series, the authors think that also an endometrial thickness of a few millimeters doesn't justify the non-recourse to endometrial biopsy in the presence of repeated haemorrhagic episodes or specific risk factors.
Divisione di Ginecologia e Ostetricia, Ospedale di S. Miniato, Pisa.
A
A
Taviani
S
S
Braccini
P
P
Toniazzi
P
P
Pantani
V
V
Costamagna
G
G
Gambini
V
V
Pancanti
D000328:Adult; D000368:Aged; D001706:Biopsy; D004714:Endometrial Hyperplasia / Q000150:complications / Q000473:pathology*; D016889:Endometrial Neoplasms / Q000150:complications / Q000473:pathology*; D004717:Endometrium / Q000473:pathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D017698:Postmenopause; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology; D014621:Vagina / Q000000981:diagnostic imaging
L'ecografia transvaginale in pazienti con metrorragia della postmenopausa.