| The sensitivity and specificity of vaginal sonography in detecting endometrial abnormalities in women with postmenopausal bleeding. | |
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MedLine Citation:
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PMID: 8621811 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the sensitivity and specificity of vaginal sonography in the detection of endometrial abnormalities in patients with postmenopausal bleeding (PMB). METHODS: In a prospective study, 54 patients with PMB were examined with vaginal ultrasonography prior to dilatation and curettage. The mean endometrial thickness was compared with the histopathological results. A cutoff value of 5 mm was prospectively chosen to evaluate the sensitivity and specificity of this method. RESULTS: The calculated sensitivity for the measurement of endometrial thickness as a predictor of endometrial pathology was 89%, and the specificity was 83%. We found carcinoma associated with an endometrial thickness of 6 mm. CONCLUSIONS: Although its sensitivity was high, we feel that an endometrial thickness > 5 mm should constitute a cause for concern but not a definitive indication of pathology. Thus we believe that, at this point, the role of vaginal sonography as an aid in determining which women with PMB should undergo curettage has yet to be determined. |
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Authors:
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I Wolman; J Sagi; S Ginat; A J Jaffa; J Hartoov; G Jedwab |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of clinical ultrasound : JCU Volume: 24 ISSN: 0091-2751 ISO Abbreviation: J Clin Ultrasound Publication Date: 1996 Feb |
Date Detail:
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Created Date: 1996-06-19 Completed Date: 1996-06-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0401663 Medline TA: J Clin Ultrasound Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 79-82 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology B, Serlin Maternity Hospital, Tel Aviv, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Dilatation and Curettage Endometrium / pathology, ultrasonography* Female Humans Middle Aged Postmenopause* Prospective Studies Sensitivity and Specificity Uterine Hemorrhage / pathology, surgery, ultrasonography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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