STUDY TO CORRELATE HISTOPATHOLOGICAL FINDINGS WITH ENDOMETRIAL THICKNESS EVALUATED BY TRANSVAGINAL SONOGRAPHY IN POST MENOPAUSAL BLEEDING

ABSTRACT

almost ninety percent of post-menopausal females with endometrial cancer report a vaginal bleeding experience. Objectives: To ?nd correlation of radiological and histopathological ?ndings so that early evaluation of malignancy can be done. The Present Study included 50 Patients with abnormal uterine Materials And Methods: bleeding in postmenopausal women, aged between 45-70 years. All patients were subjected to transvaginal ultrasonographic evaluation of the endometrium and the results were correlated to the histopathological picture of the endometrium after curettage in an attempt to discriminate normal endometrium from abnormal pathological patterns. Results And Analysis: Thirteen patients (26%) had pathological ?ndings. There was signi?cant difference in the mean endometrial thickness of non- pathological and abnormal endometrium in postmenopausal patients with P value <0.001**. Among the thirteen patients with pathological ?ndings eight had endometrial hyperplasia, two had polyp and three had malignancies. It may be Conclusions: concluded that vaginal sonographic measurement of endometrial thickness is an acceptable less invasive alternative to hysteroscopy and D & C and needs to be popularized as ?rst line investigation in the management of Postmenopausal bleeding in rural population