title: [Comparative study of transvaginal sonography and outpatient hysteroscopy for detection of pathologic endometrial lesions in postmenopausal women].
abstract: 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.
authors.affiliation: Universidade Estadual de Campinas, São Paulo, SP. yela@unicamp.br
authors.forename: Daniela Angerame
authors.initials: DA
authors.lastname: Yela
authors.forename: Simone Hidalgo
authors.initials: SH
authors.lastname: Ravacci
authors.forename: Ilza Maria Urbano
authors.initials: IM
authors.lastname: Monteiro
authors.forename: Kelly Cristine Hirose Marques
authors.initials: KC
authors.lastname: Pereira
authors.forename: Jose Roberto Erbolato
authors.initials: JR
authors.lastname: Gabiatti
mesh_terms: 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*