The use of transvaginal sonography for evaluation of postmenopausal ovarian size and morphology

Rodriguez, M. Hellen; Platt, Lawrence D.; Medearis, Arnold L.; Lacarra, Maria; Løbo, Rogerio A.

doi:10.1016/s0002-9378(88)80142-x

Cited by 80 publications

(14 citation statements)

References 4 publications

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“…The age range of this group was 40 and 44 years. The diagnosis was established by the existence of a cyst with the typical gray homogeneous content that lacked interstitial vessels J Ultrasound Med 12: [33][34][35][36][37][38][39]1993 ( Fig. 4).…”

Section: Methodsmentioning

confidence: 99%

Is avoidance of surgery possible in patients with perimenopausal ovarian tumors using transvaginal ultrasound and duplex color Doppler sonography?

Bonilla‐Musoles

Ballester

Simon

et al. 1993

Journal of Ultrasound in Medicine

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A total of 108 cases of small perimenopausal ovarian tumors (largest diameter, less than 7 cm) were evaluated by transvaginal sonography and duplex color Doppler sonography; 101 had criteria for benignity and 7 for malignancy. All cysts were punctured and aspirated to avoid unnecessary surgery (benign cases) and establish the cytologic diagnosis as well as to avoid the risk of leakage (malignant cases). Recurrence rate of benign punctured cysts was 25% within 1 year of follow up. No difference in recurrent rate was seen between pre- and postmenopausal patients (19 of 56 cases in the premenopausal group, and five of 28 cases in the postmenopausal group). The larger the cyst, the greater the risk of recurrence. Puncture and aspiration of seven sonographically established malignant tumors allowed cytologic diagnosis before surgery, and no evidence of leakage was noted at the time of surgery. No significant differences were observed between cytologic and histopathologic findings in cases that went to surgery. Puncture and aspiration of small endometriomas (17 cases) was found to be inefficient for therapeutic purposes. Finally, owing to the high percentage of unsatisfactory cytologic results (20%) with cyst aspiration, vaginal and color Doppler sonography seemed more efficient in distinguishing between benignity and malignancy.

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Section: Methodsmentioning

confidence: 99%

Is avoidance of surgery possible in patients with perimenopausal ovarian tumors using transvaginal ultrasound and duplex color Doppler sonography?

Bonilla‐Musoles

Ballester

Simon

et al. 1993

Journal of Ultrasound in Medicine

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“…Subsequent reports to reproduce Stovall's study on patients with known carcinoma demonstrated lower sensitivities ranging as low as 67%, 4 83%, 5 and 92% being reported. 7 Recent evidence has suggested saline-infusion sonography (SIS)guided endometrial sampling is superior to blind endometrial biopsy in diagnosing endometrial pathology in perimenopausal and postmenopausal women with AUB. Malignancy was detected by biopsy in 54 of 65 patients, for a sensitivity of 83 ± 5% (mean ± SD).…”

Section: Endometrial Samplingmentioning

confidence: 99%

Office Diagnosis and Management of Abnormal Uterine Bleeding

Tsai

Goldstein

2012

Clinical Obstetrics &Amp; Gynecology

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Abnormal uterine bleeding is one of the most common presenting complaints encountered in a gynecologist's office or primary care setting. The availability of diagnostic tools, such as ultrasound, endometrial sampling, and diagnostic hysteroscopy has made it possible to promptly diagnose and treat an increasing number of menstrual disorders in an office setting. The incorporation of newer medical therapies: antifibrinolytic drugs, shorter hormone-free interval oral contraceptive pills, and levonorgestrel inserts along with office minimally invasive treatments operative hysteroscopy and endometrial ablations have proven to be powerful therapeutic arsenals to provide short-term relief of abnormal uterine bleeding, and potentially, avoiding or delaying the hysterectomy.

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“…Dijkhuizen et al conclude that although Bthe Pipelle is superior to other techniques in endometrial sampling, especially in postmenopausal women, for the detection of endometrial carcinoma and atypical hyperplasia; however the sensitivity and specificity are high enough to justify further assessment of its clinical value. [ Rodriguez et al 28 aptly demonstrated some of the fallacies and limitations of endometrial Pipelle biopsy, namely, the Pipelle samples an average of 4% of the endometrium with a range of 0% to 12%. The failure of the Pipelle in postmenopausal women is particularly concerning, in that …”

Section: Endometrial Biopsymentioning

confidence: 99%

Diagnosis of abnormal uterine bleeding with biopsy or hysteroscopy

Bradley

2011

Menopause

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Abnormal uterine bleeding in women is a common cause for gynecologic consultation. Physicians must maintain a low threshold for endometrial assessment in abnormal uterine bleeding. Accurately determining the etiology of the bleeding permits appropriate treatment, minimizes unnecessary delays in therapy, and prevents needless worry in women. There are few national consensus guidelines, best practice guidelines, or treatment algorithms that provide gynecologists with scrupulous data to make concise decisions for the utilization of technology such as endometrial biopsy, transvaginal ultrasound, saline infusion sonography, or hysteroscopy in the evaluation of menstrual aberrations. Using technology that has a high sensitivity to detect a disease allows a physician to make concise decisions for proceeding with minimally invasive procedures or reliance on medical therapies that will probably be effective.

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The use of transvaginal sonography for evaluation of postmenopausal ovarian size and morphology

Cited by 80 publications

References 4 publications

Is avoidance of surgery possible in patients with perimenopausal ovarian tumors using transvaginal ultrasound and duplex color Doppler sonography?

Is avoidance of surgery possible in patients with perimenopausal ovarian tumors using transvaginal ultrasound and duplex color Doppler sonography?

Office Diagnosis and Management of Abnormal Uterine Bleeding

Diagnosis of abnormal uterine bleeding with biopsy or hysteroscopy

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