[Comparative study of transvaginal sonography and outpatient hysteroscopy for detection of pathologic endometrial lesions in postmenopausal women].
OBJECTIVE
To compare the efficiency of transvaginal sonography and outpatient hysteroscopy in the diagnosis of intrauterine pathology in postmenopausal women.


METHODS
Two-hundred and forty-three postmenopausal women were selected. All women had undergone outpatient hysteroscopy in the year 2006. These women were referred from the Basic Healthcare Units in Campinas, where they underwent ultrasonography for the evaluation of the endometrial cavity.


RESULTS
The mean age of these women was 61+/-9.4 years. These women were menopausal for 11+/-8.3 years.. We observed 6.6% cases of endometrial hyperplasia and cancer. The ultrasonography had a sensitivity of 95.6%, a specificity of 7.4%, a positive predictive value of 53.3% and a negative predictive value of 60%, while the hysteroscopy had 95.7%, 83%, 82.2% and 95.9% respectively.


CONCLUSIONS
Hysteroscopy was a more accurate method for the detection of intrauterine pathology than ultrasonography.
Yela
Daniela Angerame
DA
Universidade Estadual de Campinas, São Paulo, SP. yela@unicamp.br
Ravacci
Simone Hidalgo
SH
Monteiro
Ilza Maria Urbano
IM
Pereira
Kelly Cristine Hirose Marques
KC
Gabiatti
Jose Roberto Erbolato
JR
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004715:Endometriosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000592:standards*; D008875:Middle Aged; D017698:Postmenopause; D012189:Retrospective Studies; D014463:Ultrasonography / Q000379:methods / Q000592:standards*