Evaluation of the Relationship Between Histopathological Tissue Diagnosis and Endometrial Thickness in Cases with Postmenopausal Bleeding
OBJECTIVE: The investigation of the relationship between the endometrial sampling results and the endometrial thicknesses measured by transvaginal ultrasonography (TV-USG) in patients with postmenopausal bleeding. STUDY DESIGN: The results of 235 cases, where endometrial sampling has been made due...
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| Format: | Article |
| Language: | English |
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Medical Network
2015-08-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
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| Online Access: | https://gorm.com.tr/index.php/GORM/article/view/24 |
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| author | Mehmet Şükrü Budak Mehmet Baki Şentürk Sedat Akgöl Mehmet Obut Ali Emre Tahaoğlu Cihan Toğrul Ayhan Yıldırım |
| author_facet | Mehmet Şükrü Budak Mehmet Baki Şentürk Sedat Akgöl Mehmet Obut Ali Emre Tahaoğlu Cihan Toğrul Ayhan Yıldırım |
| author_sort | Mehmet Şükrü Budak |
| collection | DOAJ |
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OBJECTIVE: The investigation of the relationship between the endometrial sampling results and the endometrial thicknesses measured by transvaginal ultrasonography (TV-USG) in patients with postmenopausal bleeding.
STUDY DESIGN: The results of 235 cases, where endometrial sampling has been made due to postmenopausal bleeding at the Diyarbakır Maternity and Pediatric Hospital between January 2013 and December 2013, have been evaluated retrospectively.
RESULTS: In the findings, the mean age is 57.83±8.06 years and the mean parity is 7.73±3.26. In 126 of the findings (53.6%), the endometrial thickness in TV-USG is <5 mm (group 1), and in 109 (46.4%) the endometrial thickness in TV-USG is ≥5 mm (group 2). It has been observed that 53 (22.6%) of the cases have been diagnosed with atrophic endometrium, 43 (18.3%) with endometrial polyp, 34 (14.5%) with deficient material, 28 (11.9%) with secretory endometrium, 19 (8.1%) with proliferative endometrium, 16 (6.8%) with simple endometrial hyperplasia, 12 (5.1%) with irregular proliferative endometrium, 7 (3%) with complex endometrial hyperplasia, 3 (1.3%) with endometrial adenocarcinoma and 3 (1.3%) with endometritis. In Group 1, any abnormal histopathological (endometrial polyp, hyperplasia and adenocarcinoma) findings have not been identified.
CONCLUSION: In cases with postmenopausal bleeding, endometrial sampling is important. Endometrial thickness measurement with TV-USG, which is a non-invasive technique, should be used as the first step in the evaluation of the cases. It appears that high parity ratios reduce the endometrium cancer risk.
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| format | Article |
| id | doaj-art-ae4fb7bcbfbd4e05950931b8a8ba8b06 |
| institution | Kabale University |
| issn | 1300-4751 2602-4918 |
| language | English |
| publishDate | 2015-08-01 |
| publisher | Medical Network |
| record_format | Article |
| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj-art-ae4fb7bcbfbd4e05950931b8a8ba8b062025-02-11T21:25:51ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182015-08-0121219Evaluation of the Relationship Between Histopathological Tissue Diagnosis and Endometrial Thickness in Cases with Postmenopausal BleedingMehmet Şükrü Budak0Mehmet Baki Şentürk1Sedat Akgöl2Mehmet Obut3Ali Emre Tahaoğlu4Cihan Toğrul5Ayhan Yıldırım6Department of Obstetrics and Gynecology Gazi Yaşargil Training and Research Hospital, DiyarbakırDepartment of Obstetrics and Gynecology Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbulDepartment of Obstetrics and Gynecology Veni Vidi Hospital, DiyarbakırDepartment of Obstetrics and Gynecology Diyarbakır Women’s Health and Children’s Disease Hospital, DiyarbakırDepartment of Obstetrics and Gynecology Diyarbakır Women’s Health and Children’s Disease Hospital, DiyarbakırDepartment of Obstetrics and Gynecology Diyarbakır Women’s Health and Children’s Disease Hospital, DiyarbakırDepartment of Pathology Diyarbakır Women’s Health and Children’s Disease Hospital, Diyarbakır OBJECTIVE: The investigation of the relationship between the endometrial sampling results and the endometrial thicknesses measured by transvaginal ultrasonography (TV-USG) in patients with postmenopausal bleeding. STUDY DESIGN: The results of 235 cases, where endometrial sampling has been made due to postmenopausal bleeding at the Diyarbakır Maternity and Pediatric Hospital between January 2013 and December 2013, have been evaluated retrospectively. RESULTS: In the findings, the mean age is 57.83±8.06 years and the mean parity is 7.73±3.26. In 126 of the findings (53.6%), the endometrial thickness in TV-USG is <5 mm (group 1), and in 109 (46.4%) the endometrial thickness in TV-USG is ≥5 mm (group 2). It has been observed that 53 (22.6%) of the cases have been diagnosed with atrophic endometrium, 43 (18.3%) with endometrial polyp, 34 (14.5%) with deficient material, 28 (11.9%) with secretory endometrium, 19 (8.1%) with proliferative endometrium, 16 (6.8%) with simple endometrial hyperplasia, 12 (5.1%) with irregular proliferative endometrium, 7 (3%) with complex endometrial hyperplasia, 3 (1.3%) with endometrial adenocarcinoma and 3 (1.3%) with endometritis. In Group 1, any abnormal histopathological (endometrial polyp, hyperplasia and adenocarcinoma) findings have not been identified. CONCLUSION: In cases with postmenopausal bleeding, endometrial sampling is important. Endometrial thickness measurement with TV-USG, which is a non-invasive technique, should be used as the first step in the evaluation of the cases. It appears that high parity ratios reduce the endometrium cancer risk. https://gorm.com.tr/index.php/GORM/article/view/24Postmenopausal bleedingTransvaginal ultrasonographyEndometrial thicknessHistopathological diagnosis |
| spellingShingle | Mehmet Şükrü Budak Mehmet Baki Şentürk Sedat Akgöl Mehmet Obut Ali Emre Tahaoğlu Cihan Toğrul Ayhan Yıldırım Evaluation of the Relationship Between Histopathological Tissue Diagnosis and Endometrial Thickness in Cases with Postmenopausal Bleeding Gynecology Obstetrics & Reproductive Medicine Postmenopausal bleeding Transvaginal ultrasonography Endometrial thickness Histopathological diagnosis |
| title | Evaluation of the Relationship Between Histopathological Tissue Diagnosis and Endometrial Thickness in Cases with Postmenopausal Bleeding |
| title_full | Evaluation of the Relationship Between Histopathological Tissue Diagnosis and Endometrial Thickness in Cases with Postmenopausal Bleeding |
| title_fullStr | Evaluation of the Relationship Between Histopathological Tissue Diagnosis and Endometrial Thickness in Cases with Postmenopausal Bleeding |
| title_full_unstemmed | Evaluation of the Relationship Between Histopathological Tissue Diagnosis and Endometrial Thickness in Cases with Postmenopausal Bleeding |
| title_short | Evaluation of the Relationship Between Histopathological Tissue Diagnosis and Endometrial Thickness in Cases with Postmenopausal Bleeding |
| title_sort | evaluation of the relationship between histopathological tissue diagnosis and endometrial thickness in cases with postmenopausal bleeding |
| topic | Postmenopausal bleeding Transvaginal ultrasonography Endometrial thickness Histopathological diagnosis |
| url | https://gorm.com.tr/index.php/GORM/article/view/24 |
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