Te Relationship between Hysteroscopy, Endometrial Biopsy andTe Results of Transvaginal Sonography in Assessing Endometrial Polyps
Journal Title: Sultan Qaboos University Medical Journal - Year 2007, Vol 7, Issue 1
Abstract
Objective: Transvaginal Sonography (TVS) is being used in the investigation of postmenopausal bleeding (PMB). Te bleeding could be the result of a number of factors; endometrial polyps are one of the common findings in these patients. Te aim was to compare the findings of TVS and hysteroscopy to determine the sensitivity of each method in detecting endometrial polyps. Methods: Tis was a retrospective study, designed to investigate the sensitivity and specificity of transvaginal sonography in the detection of endometrial polyps. Tis study was conducted from July 992 to July 999 and identified from the record 37 patients with PMB referred for transvaginal sonography, hysteroscopy and biopsy investigations. Results: Tirty-seven patients with PMB were scanned using TVS and hysteroscopy. Te result was not specific or sensitive when using TVS alone. TVS showed 3.52 % sensitivity, hysteroscopy/biopsy showed 00% sensitivity. TVS p>0.06 was not significant. Conclusion: Using TVS alone to diagnose polyps in PMB patients is not sensitive, especially when the polyps are smaller than 6 mm. If it is combined with hysterscopy, the reliability and s sensitivity are significantly improved.
Authors and Affiliations
Saad R I Al-Kubaisi| Ultrasound Supervisor, High Level General Hospital, P O Box 1462, Hight Level, Alberta, Canada, TOH 1Z0 Canada
Keywords
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