[Evaluation of endometrial carcinoma using hysteroscopy and transvaginal echography].
OBJECTIVE
To compare transvaginal ultrasound and hysteroscopy in the diagnosis of endometrial cancer in women with postmenopausal bleeding.


METHODS
Sixty postmenopausal women with abnormal uterin bleeding underwent to transvaginal ultrasound, hysteroscopy and endometrial biopsy.


RESULTS
USG and hysteroscopy demonstrate respectively a sensitivity of 96% and 90%, specificity of 88% and 94%, positive predictive value of 86% and 92% and negative predictive value of 92% and 96% and accuracy of 89% and 94%.


CONCLUSIONS
The accuracy of hysteroscopy is significantly higher than transvaginal sonography for the detection of endometrial cancer.
Guida
M
M
Dipartimento di Ginecologia, Ostetricia e Fisiopatologia della Riproduzione Umana, Università degli Studi di Napoli Federico II.
Bramante
S
S
Acunzo
G
G
Lavitola
G
G
Sparice
S
S
Cerrota
G
G
Nappi
C
C
D000368:Aged; D001706:Biopsy; D002277:Carcinoma / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D016889:Endometrial Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008875:Middle Aged; D017698:Postmenopause; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000209:etiology