title: Accuracy of Transvaginal Ultrasonography, Hysteroscopy and Uterine Curettage in Evaluating Endometrial Pathologies.
abstract: ObjectiveTo evaluate the accuracy of transvaginal ultrasonography, hysteroscopy and uterine curettage in the diagnosis of endometrial polyp, submucous myoma and endometrial hyperplasia, using as gold standard the histopathological analysis of biopsy samples obtained during hysteroscopy or uterine curettage.MethodsCross-sectional study performed at the Hospital Universitário de Brasília (HUB). Data were obtained from the charts of patients submitted to hysteroscopy or uterine curettage in the period from July 2007 to July 2012.ResultsOne-hundred and ninety-one patients were evaluated, 134 of whom underwent hysteroscopy, and 57, uterine curettage. Hysteroscopy revealed a diagnostic accuracy higher than 90% for all the diseases evaluated, while transvaginal ultrasonography showed an accuracy of 65.9% for polyps, 78.1% for myoma and 63.2% for endometrial hyperplasia. Within the 57 patients submitted to uterine curettage, there was an accuracy of 56% for polyps and 54.6% for endometrial hyperplasia.ConclusionIdeally, after initial investigation with transvaginal ultrasonography, guided biopsy of the lesion should be performed by hysteroscopy, whenever necessary, in order to improve the diagnostic accuracy and subsequent clinical management.
authors: Gynecology and Obstetrics, Faculdade de Medicina, Universidade de Brasília, Brasília, Brazil.
authors: Miriam da Silva
authors: MD
authors: Wanderley
authors: Service of Gynecology and Obstetrics, Hospital Universitário de Brasília (HUB), Brasília, Brazil.
authors: Miriam Monteiro
authors: MM
authors: Álvares
authors: Gynecology and Obstetrics, Faculdade de Medicina, Universidade de Brasília, Brasília, Brazil.
authors: Maria de Fátima Brito
authors: MF
authors: Vogt
authors: Service of Gynecology and Obstetrics, Hospital Universitário de Brasília (HUB), Brasília, Brazil.
authors: Lizandra Moura Paravidine
authors: LM
authors: Sazaki
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003475:Curettage; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D015907:Hysteroscopy; D008875:Middle Aged; D011127:Polyps; D015203:Reproducibility of Results; D014463:Ultrasonography / Q000379:methods; D014591:Uterine Diseases / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D014621:Vagina