Diagnostic accuracy of hysteroscopy in endometrial hyperplasia

Loverro, Giuseppe; Bettocchi, Stefano; Cormio, Gennaro; Nicolardi, Vittorio; Porreca, M; Pansini, Nicola; Selvaggi, Luigi

doi:10.1016/s0378-5122(96)01064-x

Cited by 46 publications

(29 citation statements)

References 15 publications

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“…Loverro et al 27 stated sensitivity, specificity, positive predictive value and negative predictive value as 98%, 95%, 63% and 99% respectively which is comparable with the present study. Table 6 shows incidence of hyperplasia in various studies.…”

Section: Endometrial Hyperplasiasupporting

confidence: 91%

Role of diagnostic hysteroscopy in abnormal uterine bleeding

Singh¹,

Taneja²,

Singh³

et al. 2014

Int J Reprod Contracept Obstet Gynecol

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Section: Endometrial Hyperplasiasupporting

confidence: 91%

Role of diagnostic hysteroscopy in abnormal uterine bleeding

Singh¹,

Taneja²,

Singh³

et al. 2014

Int J Reprod Contracept Obstet Gynecol

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“…Loverro et alstated the sensitivity, specificity, positive predictive value and negative predictive value was 98%, 95%, 63% and 99%, respectively, for endometrial hyperplasia. 24 In present study the sensitivity, specificity, PPV, NPV was 100% for polyp and sub mucosal fibroid in hysteroscopy. It correlates with the findings of Sheetal et al 64 in which sensitivity, specificity, positive predictive value and negative predictive value of hysteroscopy for endometrial polyp was 100%.…”

Section: Endometrial Finding On Hysteroscopysupporting

confidence: 50%

Evaluation of abnormal uterine bleeding with transvaginal sonography and hysteroscopy in perimenopausal women

Choudhary¹,

Agrawal²,

Jain³

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Abnormal uterine bleeding is defined as any deviation from the normal menstrual cycle this include change in regularity, frequency of menses, duration or amount of bleeding during or in between periods. Objective of present study was to evaluate abnormal uterine bleeding with transvaginal sonography and hysteroscopy in perimenopausal women.Methods: This study is conducted on women presenting to the gynecological OPD with complain of abnormal uterine bleeding in perimenopausal age group. A total of 50 patients were subjected to transvaginal sonography and Diagnostic hysteroscopy.Results: On TVS, out of total 50 patients, 50% patient showed normal endometrial finding. 24% Patient showed Endometrial hyperplasia, 14% Endometrial Polyp, 8% Submucosal fibroid, 4% Adenomyosis. On TVS, out of total 50 patient, 50% patient showed normal endometrial finding. 24% Patient showed endometrial hyperplasia, 14% endometrial Polyp, 8% submucosal fibroid, 4% adenomyosis. Out of total 50 patients, 28 (56%) showed normal endometrial finding.20% cases showed endometrial Hyperplasia, 16% showed endometrial Polyp, 8% showed submucosal fibroid. Sensitivity, specificity, PPV, NPV of endometrial hyperplasia – 81.81%, 92.3%, 75%, 94.73% respectively.Conclusions: Transvaginal sonography has a moderate diagnostic accuracy in detecting endometrial hyperplasia and other intrauterine pathology. TVS is safe, acceptable and easily available & is noninvasive. It should be used as 1st line diagnostic tool in patients with AUB in perimenopausal women. Hysteroscopy has important tool in the diagnosis of various endometrial and intrauterine lesions TVS and hysteroscopy should be employed hand in hand in evaluation of AUB.

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“…Sensitivity and specificity of hysteroscopy in our study is 91.89%, 92.31% respectively which is comparable to other studies like Loverra et al (98% and 95%), HongLan Zhu (77.8% and 100%). 13,19 In other studies, like De wit Ac et al sensitivity is 63% and specificity is 55%, Fernandez-perra found it to be 36% and 98%…”

Section: Discussionmentioning

confidence: 87%

Study of hysteroscopic evaluation in patients with abnormal uterine bleeding

Kumar

Sathya

Sampathkumar

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Abnormal uterine bleeding in women is the commonest presenting complaint which accounts for one third of all gynecological consultations. It not only causes discomfort, inconvenience to healthy women but also affects their quality of life and impose financial burden on them. This insists the physician to diagnose its etiology and provide appropriate treatment. Hysteroscopy guided biopsy is a simple, safe, reliable procedure in the diagnosis of abnormal uterine bleeding. The objective of the study was to evaluate the uterine pathology in premenopausal women with abnormal uterine bleeding by hysteroscopy.Methods: This prospective study was conducted at ESIC-MC and PGIMSR, Rajajinagar, Bangalore, in 50 premenopausal women with abnormal uterine bleeding over 18 months from Dec 2012 to May 2014. All 50 women were subjected to diagnostic hysteroscopy followed by curettage. The sample was sent to histopathological examination. Data was collected and analyzed.Results: In the present study, abnormal uterine bleeding was more common in 41-45yrs of age. The commonest presenting complaint was heavy menstrual bleeding (menorrhagia) in 54% of cases. The abnormal findings on hysteroscopy were: Hyperplasia 42%, endometrial polyp 22%, sub-mucous myoma 4%, carcinoma endometrium 2%, synechiae 2% and endometritis 2%. Negative hysteroscopic view was seen in 26%. The sensitivity, specificity, positive and negative predictive value of hysteroscopy was 91.89%, 92.31%, 97.14% and 80% respectively. The overall diagnostic accuracy of hysteroscopy was 92%.Conclusions: Hysteroscopy and its directed biopsy renders high diagnostic accuracy in patients with abnormal uterine bleeding and thereby guiding them for further management.

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Diagnostic accuracy of hysteroscopy in endometrial hyperplasia

Cited by 46 publications

References 15 publications

Role of diagnostic hysteroscopy in abnormal uterine bleeding

Role of diagnostic hysteroscopy in abnormal uterine bleeding

Evaluation of abnormal uterine bleeding with transvaginal sonography and hysteroscopy in perimenopausal women

Study of hysteroscopic evaluation in patients with abnormal uterine bleeding

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