Ultrasonographic Measurement of Endometrial Thickness and Histopathological Diagnosis of Endometrial Hyperplasia in Abnormal Uterine Bleeding -A Correlative Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Context:Women with abnormal uterine bleeding(AUB) had compromised quality life expresses burden socioeconomically, emotionally. Delay in pursuing medical help leads to development of simple hyperplasia to complex carcinoma.Early detection, treatment of hyperplasias prevents progression to malignancy. This study wastaken for early detection of hyperplasia with the help of endometrial thickness(ET) throughultrasound (U/S) Aim: To study clinical presentation, ultrasound ET measurementand correlate histopathological endometrial hyperplasias inAUB. Materials and methods: Prospective study -170 patients with AUB inGovernment maternity hospital, Tirupati Statistical analysis: M. S. Excel, SPSS Results:AUB patients 90.2% were reproductive age,8.8% postmenopausal. Postponement for medical help for3- 6 months, multiparous women observed 60.6%.AUB presentation was significantly observedwith advanced age Ultrasonographical ET of less than 8 mm displays few hyperplasia, more than 8 mmto 15mm ET reveals significant increase in hyperplasia, carcinoma without normal endometrium Conclusion: Delay in medical help owing to low socioeconomic, illiteracy. Advanced aged women with AUB presentation requiresclinical, ultrasonographical ET, histopathological endometrialassessment. Ultrasonographic ET more than 8mm in reproductive age,more than 4 mm in peri and postmenopausal women necessitatesevaluation. Recommendations: Ultrasonographic ET measurement is valued for guiding histopathological detection of hyperplasias
Authors and Affiliations
Dr. S. Geetha Lakshmi, Dr. J. Sowjanya kumari, Dr. M. Sandhya
Keywords
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- EP ID EP401659
- DOI 10.9790/0853-1710051419.
- Views 51
- Downloads 0
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