Study To Correlate Histopathological Findings With Endometrial Thickness Evaluated By Transvaginal Sonography In PostMenopausal Indian Females Having Symptoms Of Uterine Bleeding
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Nearly ninety percent of post-menopausal females with endometrial cancer report a vaginal bleeding experience. Objectives: To find correlation of radiological and histopathological findings so that early evaluation of malignancy can be done in a rural population of eastern India. Materials And Methods: The Present Study included 50 Patients with abnormal uterine bleeding in postmenopausal women, aged between 45-70 years. All patients were subjected to transvaginalutlrasonographic evaluation of the endometrium and the results were correlated to the histopathological picture of the endometrium after curettage in an attempt to discriminate normal endometrium from abnormal pathological patterns. Results And Analysis: Thirteen patients (26%) had pathological findings. There was significant difference in the mean endometrial thickness of non-pathological and abnormal endometrium in postmenopausal patients with Pvalue <0.001**. Among the thirteen patients with pathological findings eight had endometrial hyperplasia, two had polyp and three had malignancies. Conclusions:It may be concluded that vaginal sonographic measurement of endometrial thickness is an acceptable less invasive alternative to hysteroscopy and D & C and needs to be popularized as first line investigation in the management of Postmenopausal bleeding in rural population.
Authors and Affiliations
MrinalKanti Ghosh, ShyamLal Agarwal, Aniruddha Ghosh, SubarnaSankar Dutta, Jayanta Routh, Arunima Chowdhury
Keywords
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- EP ID EP238885
- DOI 10.9790/0853-1611081317
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