title: [Diagnostic modalities of endometrial ultrasonography in women with irregular bleeding in menopause].
abstract: The aim of the present study was to investigate the diagnostic possibilities of the endovaginal sonography for the assessment of the state of the endometrium in women with irregular bleeding in climax.
  
  
  METHODS
  Fifty women between 40 to 60 years (mean 47.8) with irregular genital bleeding were investigate. Using transvaginal ultrasound, anterior-posterior, length and width dimensions of the uterus were measured and echostructure of the endometrium was defined. The dilatation and curettage of endometrial cavity was performed subsequently.
  
  
  CONCLUSIONS
  The histological examination of the curettage material shows - normal endometrium in 15 women, cystic hyperplasian in 16, atrophic endometrium in 11, atypical hyperplasia in 5 and endometrial cancer in 3 women. The correlation of these findings with the results from ultrasound investigation shows, that the degree of the endometrial thickness play a role as a criteria to establish the diagnostic protocol.
  
  
  CONCLUSIONS
  The summarized data from our study shows, that in the limit of 8 mm, the diagnostic accuracy of the method - sensitivity - 75% specificity - 73.8% amd efficacy - 74% give us cause to recommend the transvaginal sonography of the endometrium in women in climax, as a screening tool in the diagnostic protocol for endometrial cancer.
authors.forename: V
authors.initials: V
authors.lastname: Zlatkov
authors.forename: N
authors.initials: N
authors.lastname: Nikolov
authors.forename: A
authors.initials: A
authors.lastname: Mikhlova
authors.forename: V
authors.initials: V
authors.lastname: Radeva
authors.forename: G
authors.initials: G
authors.lastname: B'rzakov
authors.forename: E
authors.initials: E
authors.lastname: Velinov
mesh_terms: D000328:Adult; D004107:Dilatation and Curettage; D004714:Endometrial Hyperplasia / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D004717:Endometrium / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D006801:Humans; D008593:Menopause; D008875:Middle Aged; D011230:Precancerous Conditions / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D012680:Sensitivity and Specificity; D014463:Ultrasonography / Q000379:methods; D014592:Uterine Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology; D014599:Uterus / Q000033:anatomy & histology; D014621:Vagina / Q000000981:diagnostic imaging*
vernacular_title: Diagnostichni v'zmozhnosti na vaginalnoto ultrazvukovo izsledvane na endometriuma pri zheni s nepravilni kr'votecheniia v klimakteriuma.