Accuracy of Transvaginal Ultrasonography, Hysteroscopy and Uterine Curettage in Evaluating Endometrial Pathologies

Wanderley, Miriam da Silva; Álvares, Miriam Monteiro; Vogt, Maria de Fátima Brito; Sazaki, Lizandra Moura Paravidine

doi:10.1055/s-0036-1593774

Cited by 24 publications

(39 citation statements)

References 26 publications

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“…A limitation of ultrasonography imaging is that it does not allow biopsy for diagnostic confirmation. In view of this, a recent study concluded that ultrasonography presents a barrier to the diagnosis of endometrial pathologies and that a biopsy should be performed under direct visualization by hysteroscopy …”

Section: Discussionmentioning

confidence: 99%

Comparison of endometrial assessment by transvaginal ultrasonography and hysteroscopy

Yela

Pini

Benetti‐Pinto

2018

Intl J Gynecology & Obste

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Section: Discussionmentioning

confidence: 99%

Comparison of endometrial assessment by transvaginal ultrasonography and hysteroscopy

Yela

Pini

Benetti‐Pinto

2018

Intl J Gynecology & Obste

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“…Polyps were confirmed in up to 28% of symptomatic postmenopausal women 2 . In 134 patients who underwent hysteroscopy, the procedure revealed a diagnostic accuracy higher than 90% for all the diseases evaluated, while transvaginal ultrasonography showed an accuracy of 65.9% for polyps 10 . Higher sensitivty up to 89% and specificity up to 87% is obtained when using color-flow sonography and detecting one feeding blood vessel 11 .…”

Section: Discussionmentioning

confidence: 94%

“…This study comprised 789 premenopausal women and had 94% sensitivity and 95% specificity of hysteroscopical procedure, while transvaginal ultrasound had sensitivity 54% and specificity 80% for detection endometrial polyps 12 . Ideally, after initial investigation with transvaginal ultrasonography, guided biopsy of the lesion should be performed by hysteroscopy, whenever necessary, in order to improve the diagnostic accuracy and subsequent clinical management 10 . There is a chance for spontaneous regression of polyps, higher for smaller ones 13 .…”

Section: Discussionmentioning

confidence: 99%

Comparison of ultrasound with hysteroscopic and histological findings for intrauterine assessment

Reznak¹,

Kudela²

2018

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Introduction. Hysteroscopy with biopsy is a common diagnostic and therapeutic method in gynaecology. Its use is preceded by ultrasound examination. The success rate of predicting intrauterine findings based on ultrasound has not been assessed in the Czech Republic for a long time. In the meantime, there have been technological improvements in ultrasound devices. Method. Patients indicated for hysteroscopy underwent ultrasound examination and their medical history was recorded. The percentage agreement between ultrasound and histopathological findings was assessed. The secondary goal was to find an easier way of describing ultrasound findings in gynaecological practice. Results. The study comprised 255 patients. In 15 cases, endometrial carcinoma was confirmed by hysteroscopy and histopathological examination. Of these, malignancies were suspected based on previous ultrasound scans in 11 patients. In 95 cases, intrauterine polyps were detected. The success rate for predicting polyps by ultrasound examination was 65.1%. The agreement between ultrasound and hysteroscopic/histopathological findings was 72%. The secondary goal of making the description of the uterine cavity easier was not fulfilled. The prediction percentages for the criteria were low. The incidence of pathological findings in ultrasound findings labelled as anechogenic was 4.8%, suggesting a high negative predictive value. Conclusion. In spite of the better resolution of new ultrasound devices, their predictive value remains limited. Findings that are suspicious in ultrasound should be confirmed by hysteroscopy with biopsy.

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“…They recommended that after initial investigation with transvaginal ultrasonography, guided biopsy of the lesion should be performed by hysteroscopy when-ever necessary in order to improve the diagnostic accuracy and subsequent clinical management [17].…”

Section: Discussionmentioning

confidence: 99%

A Comparative Observational Study of the Use Transvaginal Ultrasound and Hysteroscopy for the Detection of Uterine Cavity Pathologies in Women with Abnormal Uterine Bleeding

Elsersy¹

2017

OJOG

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Background: 70% of all gynecological consultations are for abnormal uterine bleeding. Any approach to optimal management begins with an appropriate diagnosis. 40% of premenopausal women with abnormal uterine bleeding were found to have some intrauterine pathology. This study aims to compare the diagnostic value of transvaginal ultrasonography in comparison to hysteroscopy in detecting uterine abnormalities in patients with abnormal uterine bleeding. Methods: Retrospective observational cross sectional study of 250 women presented with abnormal uterine bleeding. The patients who fulfilled the selection criteria and have been sequentially investigated by transvaginal ultrasound (TVS) and hysteroscopy were included. Results: 90% of patients were from 35 -49 yrs. 81.2% of patients have body mass index above 25 kg/m 2 .Transvaginal ultrasound (TVS) compared well with high sensitivity as regards normal endometrium. (TVS) missed 4 patients of endometrial polyps and one patient of sub mucous fibroid. Three patients of adenomyosis were only diagnosed by (TVS); they were reported as being normal by hysteroscopy. Conclusion: (TVS) is considered as an excellent approach to the initial evaluation of uterine pathologies in patients with abnormal uterine bleeding.

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Accuracy of Transvaginal Ultrasonography, Hysteroscopy and Uterine Curettage in Evaluating Endometrial Pathologies

Cited by 24 publications

References 26 publications

Comparison of endometrial assessment by transvaginal ultrasonography and hysteroscopy

Comparison of endometrial assessment by transvaginal ultrasonography and hysteroscopy

Comparison of ultrasound with hysteroscopic and histological findings for intrauterine assessment

A Comparative Observational Study of the Use Transvaginal Ultrasound and Hysteroscopy for the Detection of Uterine Cavity Pathologies in Women with Abnormal Uterine Bleeding

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