| Radiological reasoning: algorithmic workup of abnormal vaginal bleeding with endovaginal sonography and sonohysterography. | |
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MedLine Citation:
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PMID: 19018052 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The workup of endometrial abnormalities can be a confusing task for radiologists because one must take into account the patient's clinical history, imaging findings, and a wide array of diagnostic options. We present two cases, one of a premenopausal woman presenting with vaginal bleeding and another of a postmenopausal woman taking tamoxifen who has abnormal findings on endovaginal sonography. The evaluations of these patients serve to illustrate the diagnostic algorithm for identification of endometrial pathology. CONCLUSION: Imaging plays a central role in the algorithm for detection of endometrial disorders in women with abnormal vaginal bleeding. Endovaginal sonography is used to identify mural abnormalities such as fibroids and adenomyosis and to screen for thickened endometria that require nonfocal biopsy for the diagnosis of cancer or hyperplasia. Sonohysterography serves as a triage tool to detect focal abnormalities of the endometrial cavity, such as endometrial polyps or subendometrial fibroids, thereby identifying those women who require more invasive workup with hysteroscopy. |
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Authors:
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Ann A Shi; Susanna I Lee |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: AJR. American journal of roentgenology Volume: 191 ISSN: 1546-3141 ISO Abbreviation: AJR Am J Roentgenol Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-11-21 Completed Date: 2009-01-08 Revised Date: 2009-02-22 |
Medline Journal Info:
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Nlm Unique ID: 7708173 Medline TA: AJR Am J Roentgenol Country: United States |
Other Details:
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Languages: eng Pagination: S68-73 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, Massachusetts General Hospital, Boston, MA, USA. ashi@montefiore.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Algorithms* Decision Support Systems, Clinical* Female Humans Ultrasonography / methods* Uterine Hemorrhage / ultrasonography* Vagina / ultrasonography* Vaginal Diseases / ultrasonography* |
| Comments/Corrections | |
Erratum In:
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AJR Am J Roentgenol. 2009 Mar;192(3 Suppl):S62 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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