Ultrasound assessment of the endometrium in early detection of endometrial cancer in high risk patients
Abu Hmeidan, F.; Bilek, K.; Baier, D.; Nuwayhid, M.; Kade, R.
Zentralblatt für Gynakologie 114(9): 455-458
1992
ISSN/ISBN: 0044-4197 PMID: 1414073 Document Number: 395416
In 300 postmenopausal adipose and complaint-free patients but with one risk factor for the development of endometrial carcinoma one prospective study transabdominal and transvaginal ultrasonographic examinations by 3.75-MHZ abdominal and 5-MHZ vaginal sound was carried out. In all cases with endometrial thickness of 10 mm and also with endometrial thickness of 5-10 mm and irregular endometrial boundary fractional curettage was done. The rate of abnormal findings was 8% of which in 18 patients the findings were histologically confirmed (3 endometrial cancer, 5 hyperplasia, 8 polyp and 2 submucosal myomas). The sensitivity of ultrasonography was found to be 75%. Patients with normal findings were controlled in 6 months, none of these patients showed pathological symptoms.