Endovaginal Scanning of the Endometrium Compared to Cytology and Histology in Women with Postmenopausal Bleeding
Endovaginal scanning (EVS) of the endometrium has recently been proposed as a method for the investigation of the endometrial mucosa. In this study, the specificity and sensitivity of EVS have been compared with endometrial cytology and D&C to discriminate between a normal and pathological endom...
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| Veröffentlicht in: | Gynecologic oncology 1993-08, Vol.50 (2), p.173-178 |
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| creator | Karlsson, B. Granberg, S. Wikland, M. Ryd, W. Norström, A. |
| description | Endovaginal scanning (EVS) of the endometrium has recently been proposed as a method for the investigation of the endometrial mucosa. In this study, the specificity and sensitivity of EVS have been compared with endometrial cytology and D&C to discriminate between a normal and pathological endometrium. The study included 105 women who underwent preoperative endovaginal ultrasound investigation, endometrial cytology, and D&C because of postmenopausal bleeding. A specificity of 81% and a sensitivity of 97% in diagnosing morphological alterations by means of endovaginal ultrasound was found. The corresponding figures for cytological evaluation were 81 and 58%, respectively. We conclude that endovaginal ultrasound is a valuable diagnostic instrument for detecting pathological conditions in the uterine mucosa and as sensitive as endometrial cytology or D&C. |
| doi_str_mv | 10.1006/gyno.1993.1188 |
| format | Article |
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In this study, the specificity and sensitivity of EVS have been compared with endometrial cytology and D&C to discriminate between a normal and pathological endometrium. The study included 105 women who underwent preoperative endovaginal ultrasound investigation, endometrial cytology, and D&C because of postmenopausal bleeding. A specificity of 81% and a sensitivity of 97% in diagnosing morphological alterations by means of endovaginal ultrasound was found. The corresponding figures for cytological evaluation were 81 and 58%, respectively. 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Obstetrics ; Humans ; Medical sciences ; Middle Aged ; Polyps - diagnostic imaging ; Sensitivity and Specificity ; Tumors ; Ultrasonography - methods ; Uterine Hemorrhage - diagnostic imaging ; Uterine Hemorrhage - pathology ; Uterine Hemorrhage - surgery ; Vaginal Smears</subject><ispartof>Gynecologic oncology, 1993-08, Vol.50 (2), p.173-178</ispartof><rights>1993 Academic Press</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-c3c727ca8ba4e530a3631e8d26ede6012f0816fca2d41eea04b339a7a09190e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0090825883711881$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4900331$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8375731$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karlsson, B.</creatorcontrib><creatorcontrib>Granberg, S.</creatorcontrib><creatorcontrib>Wikland, M.</creatorcontrib><creatorcontrib>Ryd, W.</creatorcontrib><creatorcontrib>Norström, A.</creatorcontrib><title>Endovaginal Scanning of the Endometrium Compared to Cytology and Histology in Women with Postmenopausal Bleeding</title><title>Gynecologic oncology</title><addtitle>Gynecol Oncol</addtitle><description>Endovaginal scanning (EVS) of the endometrium has recently been proposed as a method for the investigation of the endometrial mucosa. In this study, the specificity and sensitivity of EVS have been compared with endometrial cytology and D&C to discriminate between a normal and pathological endometrium. The study included 105 women who underwent preoperative endovaginal ultrasound investigation, endometrial cytology, and D&C because of postmenopausal bleeding. A specificity of 81% and a sensitivity of 97% in diagnosing morphological alterations by means of endovaginal ultrasound was found. The corresponding figures for cytological evaluation were 81 and 58%, respectively. We conclude that endovaginal ultrasound is a valuable diagnostic instrument for detecting pathological conditions in the uterine mucosa and as sensitive as endometrial cytology or D&C.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Dilatation and Curettage</subject><subject>Endometrial Hyperplasia - diagnostic imaging</subject><subject>Endometrial Hyperplasia - pathology</subject><subject>Endometrial Neoplasms - diagnostic imaging</subject><subject>Endometrium - diagnostic imaging</subject><subject>Endometrium - pathology</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Polyps - diagnostic imaging</subject><subject>Sensitivity and Specificity</subject><subject>Tumors</subject><subject>Ultrasonography - methods</subject><subject>Uterine Hemorrhage - diagnostic imaging</subject><subject>Uterine Hemorrhage - pathology</subject><subject>Uterine Hemorrhage - surgery</subject><subject>Vaginal Smears</subject><issn>0090-8258</issn><issn>1095-6859</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUFrHCEYhiW0pJu019wKHkpvu9VxZ0aP7ZI2hUALCeQo3-o3G8uMTtVJ2H9fpzvklovy8T6-6CMhV5xtOGPNl8PRhw1XSmw4l_KMrDhT9bqRtXpDVowptpZVLd-Ri5T-MMYE49U5OZeirVvBV2S89jY8wcF56OmdAe-dP9DQ0fyIdM4GzNFNA92FYYSIluZAd8cc-nA4UvCW3ri0TM7Th8J7-uzyI_0dUi5DGGFKpftbj2hL93vytoM-4YdlvyT336_vdzfr218_fu6-3q6NaGQuq2mr1oDcwxZrwUA0gqO0VYMWm_KIjknedAYqu-WIwLZ7IRS0wBRXDMUl-XyqHWP4O2HKenDJYN-DxzAl3daqrWpRF3BzAk0MKUXs9BjdAPGoOdOzYT0b1rNhPRsuBz4uzdN-QPuCL0pL_mnJIRnouwjeuPSCbVX5hP-YPGFYJDw5jDoZh94USRFN1ja4127wD-BlmQ4</recordid><startdate>19930801</startdate><enddate>19930801</enddate><creator>Karlsson, B.</creator><creator>Granberg, S.</creator><creator>Wikland, M.</creator><creator>Ryd, W.</creator><creator>Norström, A.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19930801</creationdate><title>Endovaginal Scanning of the Endometrium Compared to Cytology and Histology in Women with Postmenopausal Bleeding</title><author>Karlsson, B. ; Granberg, S. ; Wikland, M. ; Ryd, W. ; Norström, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-c3c727ca8ba4e530a3631e8d26ede6012f0816fca2d41eea04b339a7a09190e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Dilatation and Curettage</topic><topic>Endometrial Hyperplasia - diagnostic imaging</topic><topic>Endometrial Hyperplasia - pathology</topic><topic>Endometrial Neoplasms - diagnostic imaging</topic><topic>Endometrium - diagnostic imaging</topic><topic>Endometrium - pathology</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Polyps - diagnostic imaging</topic><topic>Sensitivity and Specificity</topic><topic>Tumors</topic><topic>Ultrasonography - methods</topic><topic>Uterine Hemorrhage - diagnostic imaging</topic><topic>Uterine Hemorrhage - pathology</topic><topic>Uterine Hemorrhage - surgery</topic><topic>Vaginal Smears</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karlsson, B.</creatorcontrib><creatorcontrib>Granberg, S.</creatorcontrib><creatorcontrib>Wikland, M.</creatorcontrib><creatorcontrib>Ryd, W.</creatorcontrib><creatorcontrib>Norström, A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gynecologic oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karlsson, B.</au><au>Granberg, S.</au><au>Wikland, M.</au><au>Ryd, W.</au><au>Norström, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovaginal Scanning of the Endometrium Compared to Cytology and Histology in Women with Postmenopausal Bleeding</atitle><jtitle>Gynecologic oncology</jtitle><addtitle>Gynecol Oncol</addtitle><date>1993-08-01</date><risdate>1993</risdate><volume>50</volume><issue>2</issue><spage>173</spage><epage>178</epage><pages>173-178</pages><issn>0090-8258</issn><eissn>1095-6859</eissn><coden>GYNOA3</coden><abstract>Endovaginal scanning (EVS) of the endometrium has recently been proposed as a method for the investigation of the endometrial mucosa. In this study, the specificity and sensitivity of EVS have been compared with endometrial cytology and D&C to discriminate between a normal and pathological endometrium. The study included 105 women who underwent preoperative endovaginal ultrasound investigation, endometrial cytology, and D&C because of postmenopausal bleeding. A specificity of 81% and a sensitivity of 97% in diagnosing morphological alterations by means of endovaginal ultrasound was found. The corresponding figures for cytological evaluation were 81 and 58%, respectively. We conclude that endovaginal ultrasound is a valuable diagnostic instrument for detecting pathological conditions in the uterine mucosa and as sensitive as endometrial cytology or D&C.</abstract><cop>San Diego, CA</cop><pub>Elsevier Inc</pub><pmid>8375731</pmid><doi>10.1006/gyno.1993.1188</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0090-8258 |
| ispartof | Gynecologic oncology, 1993-08, Vol.50 (2), p.173-178 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Aged, 80 and over Biological and medical sciences Dilatation and Curettage Endometrial Hyperplasia - diagnostic imaging Endometrial Hyperplasia - pathology Endometrial Neoplasms - diagnostic imaging Endometrium - diagnostic imaging Endometrium - pathology Female Female genital diseases Gynecology. Andrology. Obstetrics Humans Medical sciences Middle Aged Polyps - diagnostic imaging Sensitivity and Specificity Tumors Ultrasonography - methods Uterine Hemorrhage - diagnostic imaging Uterine Hemorrhage - pathology Uterine Hemorrhage - surgery Vaginal Smears |
| title | Endovaginal Scanning of the Endometrium Compared to Cytology and Histology in Women with Postmenopausal Bleeding |
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