Transvaginal ultrasonography as the screening method for endometrial pathology in postmenopausal women with uterine fibroids

Abstract

Objective: The postmenopausal women with uterine fibroids are considered of high risk for endometrial pathology such as hyperplasia and cancer. For early diagnostics in this group the transvaginal sonography may be most effective.

Full Text

Methods: In 40 postmenopausal asymptotic women with uterine fibroids, transvaginal examination was performed in 1998-99. We used ATL-1000HDI (5 MHz) and Acuson Seqoia 512 (5-8 MHz) equipment. Women with abnormal sonographic findings of endometrial had D and C in Department of Gynecology.

Results: Abnormal thickness of endometrium more than 5 mm was found in 9 cases. Histopathological examination revealed endometrial cancer in 1 case, endometrial hyperplasia in 3 cases, endometrial polyps in 3 cases and submucosal fibroids in 2 cases.

Conclusions: Transvaginal sonographia in postmenopausal women with uterine fibroids is most simple, safe and affective diagnostic test. There is no strong correlative is found between abnormal sonographic findings and histopathological studies.