Сomparison of ultrasonic scanning and morphological data in patients with postmenopausal endometrial polypes

Kobaidze, E. G.; Matveeva, Y. N.; Матвеева, Ю Н

doi:10.17816/pmj38270-78

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…In determining the tactics of management of patients with uterine bleeding it is important to accurately diagnose the pathological process of the endometrium [1,2]. Of course, the diagnosis of hyperplastic processes of the endometrium is based on the data of histological examination of scrapings of the uterine mucosa, allowing to determine the nature of morphostructural changes [3]. Nevertheless, there is often a need for preclinical diagnosis of hyperplastic processes and endometrial cancer using relatively simple techniques.…”

Section: Introductionmentioning

confidence: 99%

Structure of Hyperplastic Processes of the Uterus in Menopausal Women According to the Results of an Echographic Study

Ibadova¹

2022

Ukr. ž. med. bìol. sportu

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The purpose of the study was to evaluate the results of ultrasound scanning in menopausal women with endometrial hyperplastic processes. Materials and methods. Ultrasound protocols of 67 menopausal women with uterine hyperplastic processes were analyzed. Endometrial imaging data were assessed as corresponding to focal endometrial hyperplasia in 53 (79.1%) women. Uterine fibroids in combination with endometrial hyperplasia were found in 42 (62.7%) menopausal patients. According to the transvaginal ultrasound protocols, only endometrial polyp was detected in 20.9% of women (n=14). Results and discussion. The main complaints of patients with endometrial hyperplastic processes were abnormal uterine bleeding and abdominal pain. Every third (n=22; 32.8%) woman in the menopausal period noted uterine bleeding. Every second patient complained of lower abdominal pain of varying intensity (n=34; 50.7%). 11 (16.4%) women had no complaints. All the women studied underwent transvaginal and transabdominal ultrasound (in 3D mode). Ultrasound examination of the pelvic organs in order to differentiate endometrial pathology in 54% of cases was performed twice and more often. Ultrasound examination of the uterus was performed in standard projections. Endometrial polyps in most cases were oval in shape and were visualized quite clearly due to high echogenicity, homogeneous structure, the presence of a base that has no connection with the myometrium, and the integrity of the basal layer in the area of attachment of the polyp base. The sizes of endometrial polyps ranged from 1 mm to 90 mm (12.6 ± 3.5 mm). Small polyps were more often of increased echogenicity and homogeneous structure. At the same time, patients with endometrial polyps in the menopausal period often lack their visualization during transvaginal ultrasound. They are often verified as a focal or diffuse form of endometrial hyperplasia, while the low frequency of diagnosis of polyps in the menopausal period is determined. Ultrasound results were interpreted as corresponding to a combination of focal hyperplasia and endometrial polyp in 16.4% of cases (n=11). Ultrasound with color Doppler mapping in endometrial cancer revealed a sharp increase in the blood flow rate in the arсuate arteries (Vmax = 0.33 ± 0.06 m/s, Vmin = 0.16 ± 0.1 m/s). Conclusion. Ultrasound is an affordable method for diagnosing hyperplastic processes of the uterus. In the diagnosis and determination of the structure of hyperplastic processes of the uterus, combined transabdominal and transvaginal ultrasound is a highly informative non-invasive method. There is a need for further investigation of the management tactics of patients with endometrial pathology during menopause

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Section: Introductionmentioning

confidence: 99%

Structure of Hyperplastic Processes of the Uterus in Menopausal Women According to the Results of an Echographic Study

Ibadova¹

2022

Ukr. ž. med. bìol. sportu

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Clinical characteristics of postmenopausal women with endometrial polyps

Kobaidze

Matveeva

Shirinkina

et al. 2022

Akušerstvo, ginekologiâ i reprodukciâ

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Introduction. The issues of rise in incidence and malignant transformation of endometrial pathology along with elevating proportion of postmenopausal women in global population remain relevant.Aim: to evaluate clinical and laboratory data of postmenopausal patients with endometrial polyp.Materials and Methods. There were enrolled 156 cases of morphologically verified endometrial polyp; the age of the study patients averaged 61.39 ± 7.78 years. Clinical and laboratory data of the obstetric and gynecological history were analyzed; the somatic history was assessed (cardiovascular diseases, arterial hypertension, coronary heart disease). Analysis of laboratory data was performed: complete blood count (CBC), general urinalysis, biochemical parameters – level of cholesterol (Cholesterol), low-density lipoprotein-cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C), triglycerides (TG), glucose, alanine aminotransferase (ALAT), asparagine aminotransferase (ASAT), tumor marker CA-125. Statistical processing of the results was carried out.Results. Endometrial polyps were found by 17% more frequently in patients with late postmenopausal age, which were more (95.5%) prevalent in subjects without history of impaired fertility. Moreover, they also had a high rate (84.6%) of medical abortions and use of intrauterine contraceptives (every second patient). In the vast majority of cases (1/3), the patients had a history of inflammatory diseases of the uterus and uterine appendages, whereas before surgery they had in 37.2% vaginal inflammation requiring sanitation. According to the clinical course, the endometrial polyp manifested equally in early and late post-menopause, with a predominance of spotting (27.5%) and complaints of pain (24.4%). A high frequency of relapses after polypectomy was revealed so that every third patient had already undergone relevant surgery. A high incidence of arterial hypertension (71.6%), fat metabolism disorders (82.1%) were revealed in both early and late postmenopausal patients, while fat metabolism disorders were associated with the symptomatic course of endometrial polyps.Conclusion. The study results showed a statistically significant relationship between the endometrial polyp formation in postmenopausal patients and detected inflammatory pathology of the pelvic organs, diseases of the cardiovascular system and fat metabolism disorders. Further studies are necessary to verify importance of the identified factors as clinical prognostic factors.

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Сomparison of ultrasonic scanning and morphological data in patients with postmenopausal endometrial polypes

Cited by 2 publications

References 3 publications

Structure of Hyperplastic Processes of the Uterus in Menopausal Women According to the Results of an Echographic Study

Structure of Hyperplastic Processes of the Uterus in Menopausal Women According to the Results of an Echographic Study

Clinical characteristics of postmenopausal women with endometrial polyps

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