Relationship of Endometrial Polyp Prediction with Clinical and Demographic Findings
Journal Title: Journal of Academic Research in Medicine - Year 2020, Vol 10, Issue 3
Abstract
Objective: Endometrial polyp (EP) can be diagnosed clinically by transvaginal ultrasonography (TVUSG). In our study, we aimed to show the effectiveness of TVUSG in detecting EP with the hysteroscopy (H/S) results of patients who applied to our clinic and were considered for EP in TVUSG. Methods: One hundred twenty-five patients who were admitted to the obstetrics outpatient clinics of our hospital between August 1, 2015 and April 1, 2017 and were scheduled for H/S operation with a pre-diagnosis of EP were included in the study. The relationship between the age, abnormal uterine bleeding (AUB), infertility history, and the presence of EP after H/S was examined in the patients who had EP appearance on ultrasonography. The H/S results of patients with suspected EP in TVUSG and the efficiency of TVUSG in detecting EP were investigated. Results: The average age of the patients was 38.04±8.47 and ranged from 21 to 63. A significant difference was found in H/S between the ages of those with polyps and those without them (p=0.012). In patients with polyps in H/S, the average endometrium thickness was 13.36±5.37 mm, and in non-polyps, endometrium thickness was 14.08±4.58 mm. There was no significant difference in terms of endometrial thickness (p=0.141). The rate of AUB history (34.5%) in those with polyps seen in H/S was significantly higher than the rate of AUB history (13.2%) in those without polyps (p=0.007). Polyps were observed in H/S in 76% of 73 cases aged >35, and this rate was found to be significantly higher than cases under 35 years old. The sensitivity and negative predictive value was the highest in the diagnosis of polyp in the case of >35 years old alone (64.3% and 76.7%, respectively); Specificity and positive predictive value were the highest in both AUB and >35 years of age (89.4% and 85.7%, respectively). Conclusion: With TVUSG, the diagnosis of EP can be made with high accuracy in the presence of over 35 years of age with AUB findings.
Authors and Affiliations
Dilşad Herkiloğlu, Şefik Gökçe, Pınar Göksedef, Canan Kabaca, Gülhan Sağıroğlu
Keywords
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- EP ID EP691770
- DOI 10.4274/jarem.galenos.2020.3275
- Views 119
- Downloads 0
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