Ultrasound detection of endometrial cancer in women with postmenopausal bleeding

1RamageMagdy Hassan AbdElhameed, MostafaAbbass Ibrahim, Wael Hussein El Bromboly, Amr Ahmed Abd-Elrahman

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Abstract:

Background:Endometrial cancer (EC) is the most common gynecological cancer and has an increasing incidence in postmenopausal women.Aim of the work:The role of endometrial thickness measured by transvaginal sonography in the detection of endometrial carcinoma in women with post menopausal bleeding.Methods:A cross sectional study that was conductedon 120 women with postmenopausal bleeding admitted to obstetrics & Gynecology department at Zagazig University hospitals through the period from September 2018 to September 2019.All cases were subjected to full history, full clinical examination, transvaginalsonography and diagnostic endometrial biopsy was taken for histopathological examination.Results:TVS evaluation of ET of the studied cases ranged from 1 to 20 mm with mean 9.65 mm. Also 48.3% of the cases had endometrial thickness more than 10 mm, 34.2% had less than 5 mm and 17.5% had from 5 to 10mm.that 34.2% of the studied cases had atrophic endometritis, 26.7% had endometrial polyp, 17.5% had simple hyperplasia, 7.5% had atypical hyperplasia and 14.2% had endometrial adenocarcinoma.Conclusions:TVS evaluation of endometrial thickness is not sensitive enough to detect cancer of endometrium and therefore couldn't replace histological evaluation of the endometrial tissue in women with postmenopausal bleeding.

Keywords:

Endometrial thickness, EC, Abnormal uterine bleeding

Paper Details
Month12
Year2020
Volume24
IssueIssue 10
Pages7267-7277