Endometrial volume as predictor of malignancy in women with postmenopausal bleeding

Mansour, Ghada M.; El-Lamie, Ismail K.; El‐Kady, M. A.; El-Mekkawi, Sherif F; Laban, Mohamed; Abou-Gabal, Ahmed

doi:10.1016/j.ijgo.2007.07.024

Cited by 22 publications

(21 citation statements)

References 15 publications

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“…23 However, these authors reported that the best cutoff for endometrial volume was 1.35 ml with a sensitivity of 100% and a false-positive rate of 29%, much higher than that reported by Gruboeck. An explanation for that is that Mansour's study included patients with 'endometrial atypia' in the group of endometrial cancer.…”

Section: Endometrial Cancermentioning

confidence: 79%

Three-dimensional Static Ultrasound and 3D Power Doppler in Gynecologic Pelvic Tumors

Alcázar¹

2013

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Gynecological tumors are a frequent clinical problem. Accurate diagnosis is essential for an adequate clinical management. Currently, 2D ultrasound is considered as a first line imaging technique for diagnosis and for discriminating benign from malignant lesions. However, some limitations of this technique exist. Three-dimensional is a relatively new technique that allows some unique ways for assessing gynecological tumors by ultrasound. In this article, I shall review current evidence about the use of three-dimensional ultrasound for assessing gynecological tumors.

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Section: Endometrial Cancermentioning

confidence: 79%

Three-dimensional Static Ultrasound and 3D Power Doppler in Gynecologic Pelvic Tumors

Alcázar¹

2013

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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“…16 There is no good screening test for endometrial carcinoma. However, transvaginal ultrasound to detect endometrial thickness 17 and measurement of endometrial volume 18 can be used to predict malignancy. The peak age of endometrial carcinoma is between 56 to 65 years.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Genital Tract Malignancies in Postmenopausal Indian Women

Joshi¹,

Jain²,

Kawthalkar³

et al. 2013

Journal of SAFOMS

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“…Endometrial volume is measured using virtual organ computer-aided analysis (VOCAL) or a similar software. Studies have shown that EV is a better predictor of endometrial cancer than ET [39][40][41]. However, each study has defined a different cut-off value for EV, ranging between 1.35 and 3.56 ml.…”

Section: Oncologymentioning

confidence: 99%

Role of Three-Dimensional Ultrasound in Gynecology

Türkgeldi

Urman

Ata

2014

J Obstet Gynecol India

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Three-dimensional ultrasound (3D USG) is a fast-evolving imaging technique that holds a great potential for use in gynecology. Its sensitivity and specificity is reported to be close to 100 % for diagnosing congenital uterine anomalies, comparable with those of magnetic resonance imaging (MRI) and laparoscopy. With 3D USG, a coronal view of the uterus can be obtained, clearly outlining the external contour of the uterus and providing accurate information about the shape of the cavity. Although 3D USG may not perform well in thin endometria, combining it with saline infusion sonography (SIS) overcomes this problem. Research shows that 3D USG is more sensitive and specific than two-dimensional ultrasound (2D USG) in defining and mapping uterine lesions, such as fibroids, adenomyosis, and intrauterine synechia. In cases of suspected malignancy, 3D USG is mainly used in the initial evaluation of patients. Measuring various indices and mapping vascular architecture with 3D power Doppler have been proposed for evaluating adnexal masses. Although some studies raised hope, no consensus is reached about its use, success, and limitations. In urogynecology, translabial 3D USG is proved to be a valuable tool, as it provides instant access to the axial plane, which clearly depicts the relationship of the vagina, urethra, rectum, and the muscular pelvic floor. Studies report no significant differences between translabial 3D USG and MRI measurements for evaluation of the pelvic floor. In conclusion, adding 3D USG to routine gynecological workup can be beneficial for clinicians, as it provides fast and accurate results in a relatively cost-effective setting.

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Endometrial volume as predictor of malignancy in women with postmenopausal bleeding

Abstract: An endometrial volume of 1.35 mL or greater may predict malignancy in women with postmenopausal bleeding.

Cited by 22 publications

References 15 publications

Three-dimensional Static Ultrasound and 3D Power Doppler in Gynecologic Pelvic Tumors

Three-dimensional Static Ultrasound and 3D Power Doppler in Gynecologic Pelvic Tumors

Analysis of Genital Tract Malignancies in Postmenopausal Indian Women

Role of Three-Dimensional Ultrasound in Gynecology

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