Study Objective. To assess the diagnostic and operative potential of hysteroscopy in postmenopausal patients selected by ultrasound criteria. Design. Prospective evaluation (Canadian Task Force classification II-2). Setting. Outpatient ultrasound and hysteroscopy department of a university-affiliate hospital. Patients. Two hundred twelve women with an endometrial thickness less than 4 mm on ultrasound and in menopause for at least 1 year. Interventions. Transvaginal ultrasound and office hysteroscopy, with eye-directed biopsy specimens obtained with a 5-mm, continuous-flow operative hysteroscope, and performed without anesthesia. Measurements and Main Results. Only 13 (6%) patients were symptomatic (irregular bleeding). Hysteroscopic diagnosis of endometrial polyps in three women (23%) was confirmed by histology. In the remaining 199 (94%) asymptomatic patients with atrophic endometrium on ultrasound hysteroscopy showed an endometrial pathology in 10% (16 polyps, 4 submucous myomas); in one patient histologic evaluation disclosed focal adenocarcinoma in an endometrial polyp. Conclusion. Hysteroscopy allows a proper histologic diagnosis, even in asymptomatic postmenopausal women with atrophic endometrium on ultrasound.

Hysteroscopic evaluation of menopausal patients with sonographically atrophic endometrium

Bettocchi S;
2000-01-01

Abstract

Study Objective. To assess the diagnostic and operative potential of hysteroscopy in postmenopausal patients selected by ultrasound criteria. Design. Prospective evaluation (Canadian Task Force classification II-2). Setting. Outpatient ultrasound and hysteroscopy department of a university-affiliate hospital. Patients. Two hundred twelve women with an endometrial thickness less than 4 mm on ultrasound and in menopause for at least 1 year. Interventions. Transvaginal ultrasound and office hysteroscopy, with eye-directed biopsy specimens obtained with a 5-mm, continuous-flow operative hysteroscope, and performed without anesthesia. Measurements and Main Results. Only 13 (6%) patients were symptomatic (irregular bleeding). Hysteroscopic diagnosis of endometrial polyps in three women (23%) was confirmed by histology. In the remaining 199 (94%) asymptomatic patients with atrophic endometrium on ultrasound hysteroscopy showed an endometrial pathology in 10% (16 polyps, 4 submucous myomas); in one patient histologic evaluation disclosed focal adenocarcinoma in an endometrial polyp. Conclusion. Hysteroscopy allows a proper histologic diagnosis, even in asymptomatic postmenopausal women with atrophic endometrium on ultrasound.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11369/409320
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