Postmenopausal intrauterine fluid collection: correlation between ultrasound and hysteroscopy.
Postmenopausal intrauterine fluid is an alarming sign related to malignancy. Twenty postmenopausal women with intrauterine fluid were prospectively studied by means of sonographic evaluation, and hysteroscopic and histological examinations, to determine the correlation between ultrasound and hysteroscopy. All patients underwent endovaginal sonography, followed by hysteroscopy. Biopsies were performed on all patients with abnormal endometrium, and randomly on selected patients with normal or atrophic endometrium. In patients with abnormal endometrial structure and thickness (< 4 mm), two cases of endometrial cancer were histologically detected and one was revealed by cytology (Pup smear). Seventeen patients with thin endometrium (<or= 4 mm) had no pathology. Sonographic, hysteroscopic and histological findings correlated well in all cases.
Pardo
J
J
Department of Obstetrics and Gynecology, Beilinson Medical Center, Petah-Tikva, Israel.
Kaplan
B
B
Nitke
S
S
Ovadia
J
J
Segal
J
J
Neri
A
A