[Diagnostic value of combined vaginal ultrasound and hysteroscopy in peri- and postmenopausal bleeding].
OBJECTIVE
Is it possible to reduce the rate of curettages by using ultrasound and hysteroscopy?


METHODS
Transvaginal sonography, hysteroscopy, and dilation and curettage were performed in 103 patients with menometrorrhagia or postmenopausal bleeding. The patients were divided into three groups, depending on the ultrasound findings.


RESULTS
All 9 cases with cancer of the endometrium were found in group 3. 1 of the 9 carcinomas was not detected by hysteroscopy.


CONCLUSIONS
We believe that dilation and curettage is necessary in symptomatic women with an endometrial thickness < 4 as well as > 4 mm. Prospective studies have to clear the question of whether endometrial carcinomas can be detected by hysteroscopy in cases with an endometrium < 4 mm thick.
Gücer
F
F
Geburtshilflich-Gynäkologische Universitätsklinik Graz.
Arikan
M G
MG
Petru
E
E
Mitterdorfer
B
B
Lahousen
M
M
Lax
S
S
D003937:Diagnosis, Differential; D004107:Dilatation and Curettage; D016889:Endometrial Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D004717:Endometrium / Q000473:pathology; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008595:Menorrhagia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D008875:Middle Aged; D017698:Postmenopause; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology
Aussagekraft der kombinierten Anwendung von Vaginalsonographie und Hysteroskopie bei peri-und postmenopausalen Blutungen.