RESUMO
OBJECTIVE: The purpose of this study was to evaluate the diagnostic accuracy of hysterosalpingography (HSG) in comparison with hysteroscopy in the detection of intrauterine abnormality in infertile patients. MATERIALS AND METHODS: Seventy-eight patients being investigated for infertility and undergoing HSG and hysteroscopy were studied retrospectively. Radiologic findings on HSG, including single or multiple filling defects and uterine wall irregularities, were evaluated and compared with hysteroscopic findings, which were considered the reference standard. RESULTS: HSG showed a sensitivity of 81.2% compared with that of hysteroscopy and a specificity of 80.4%, with a positive predictive value of 63.4% and a negative predictive value of 83.7%. HSG also had a false-negative rate of 90% and a false-positive rate of 21.8%. Overall agreement between the two procedures was 73%. CONCLUSION: HSG is still a useful screening test for the evaluation of the uterine cavity in the study of primary or secondary infertility. In addition, HSG provides information concerning the assessment of tubal morphology and patency. We believe that these two procedures are complementary in the evaluation of the uterine cavity.
Assuntos
Histerossalpingografia , Histeroscopia , Doenças Uterinas/diagnóstico , Adulto , Hiperplasia Endometrial/diagnóstico , Hiperplasia Endometrial/diagnóstico por imagem , Reações Falso-Negativas , Reações Falso-Positivas , Feminino , Humanos , Infertilidade Feminina/etiologia , Valor Preditivo dos Testes , Sensibilidade e Especificidade , Aderências Teciduais/diagnóstico , Doenças Uterinas/diagnóstico por imagem , Neoplasias Uterinas/diagnóstico , Neoplasias Uterinas/diagnóstico por imagem , Útero/anormalidades , Útero/patologiaRESUMO
El carcinoma de mama se manifiesta frecuentemente como microcalcificaciones distribuidas siguiendo patrones cálcicos característicos.La presencia de microcalcificaciones en los ganglios axilares es un hallazgo infrecuente, y excepcionalmente secundaria a la afectación metastásica de los mismos por un carcinoma mamario. Presentamos el caso de una paciente con antecedentes de artritis reumatoide con microcalcificaciones en ganglios axilares observadas en una mamografía de control, describiendo los hallazgos radiológicos, el diagnóstico diferencial, y realizando una revisión de la bibliografía (AU)
