Email this article Diagnostics stages in postmenopausal uterine bleeding
- Authors: Ashrafyan L.A.1, Antonova I.B.1, Ogryzkova V.L.1, Basova I.O.1, Saratyan А.А.1
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Affiliations:
- Russian Radiological Scientific Centre
- Issue: Vol 54, No 5S (2005)
- Pages: 79-79
- Section: Reviews
- Submitted: 15.11.2005
- Accepted: 10.11.2021
- Published: 15.11.2005
- URL: https://journals.eco-vector.com/jowd/article/view/87511
- DOI: https://doi.org/10.17816/JOWD87511
- ID: 87511
Cite item
Abstract
Background: ultrasound sonography is methodologic base of endometrial pathology screening. The first stage of diagnostics is performed in all postmenopausal women in out-patients departments. If the increasing of M-echo more than 4 mm has been revealed the further examination should be continued.
Full Text
Background: ultrasound sonography is methodologic base of endometrial pathology screening. The first stage of diagnostics is performed in all postmenopausal women in out-patients departments. If the increasing of M-echo more than 4 mm has been revealed the further examination should be continued. M-echo more than 10 mm requires the using of additional ultrasound methods such as 3D ultrasound and spectral dopplerography. Depend on received data the hysterocsopy with or without biopsy will perform on the second stage of diagnostics. In case of M-echo more than 10 mm and additional ultrasound data supspected possible endometrial cancer the aspirative biopsy of endometrium without hysteroscopy should be made.
Materials and methods. 608 postmenopausal patients with atypical uterine bleeding were observed. 14,1% of them had endometrial atrophy, 18,8% - adenomyosis, 5,6% - uterine fibroid, 4,8% - glandular hyperplasia, 21,2% - polyps, 2,9% - endometrial cancer. Thus the uterine curretage would be useless in 54,1% of cases. Separately the group of patients with endometrial cancer of the Ist and IInd stages was studied.
Results. M-echo in Tla stage was 10,3+5,7 mm, in Tlb - 18,1+7,8 mm, in Tlc - 24,1+10,5 mm, in T2 -36,1+13.8 mm. 3D reconstruction revealed no changes in 100% of Tla stage and in 28,6% of Tlb stage. Haemodynamic indices showed the tendency of velocities indices increasing and perifericial resistance decreasing.
Conclusion. These data confirmed the necessity of differential approach for diagnostic tactics using new technical achievements and limited using of invasive procedures.
About the authors
L. A. Ashrafyan
Russian Radiological Scientific Centre
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow
I. B. Antonova
Russian Radiological Scientific Centre
Email: info@eco-vector.com
Russian Federation, Moscow
V. L. Ogryzkova
Russian Radiological Scientific Centre
Email: info@eco-vector.com
Russian Federation, Moscow
I. O. Basova
Russian Radiological Scientific Centre
Email: info@eco-vector.com
Russian Federation, Moscow
А. А. Saratyan
Russian Radiological Scientific Centre
Email: info@eco-vector.com
Russian Federation, Moscow
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