Correlation between transvaginal ultrasound measured endometrial thickness and histopathological findings in black women with postmenopausal bleeding
West Indian med. j
; West Indian med. j;49(suppl.4): 17, Nov. 9, 2000.
Article
in En
| MedCarib
| ID: med-388
Responsible library:
JM3.1
Localization: JM 3.1; R18.W4
ABSTRACT
OBJECTIVES:
To determine whether a postmenopausal endometrial thickness of 5 mm excludes endometrial pathology in the black woman with postmenopausal bleeding.METHODS:
Seventy-five black women with postmenopausal bleeding participated in this prospective study between August 1, 1998 and July 31, 1999. The patients had a questionnaire administered, which sought to obtain general information about their age, gynaecological, obstetric and social history. The patients then had a transvaginal ultrasound with double layer measurement of their endometrium; this was followed by hysteroscopy and suction curettage. The curettings were sent for histopathological analysis. The local hospital ethics comittee approved the study.RESULTS:
Correlation between the endometrial thickness and endometrial pathology was not very reliable. Fifty per cent of the patients with endometrial cancer had an endometrial thickness of 3-4 mm. Seventy per cent of the women with endometrial thickness of greater than 5 mm had benign pathology. Additionally, the following characteristics were found to be more strongly associated with endometrial cancer age over 65 years (p = 0.015; relative risk (rr) 1.406), 5 or more years since menopause (p = 0.0176; rr = 1.295) and primary infertility (p = 0.0124; rr = 0.438).CONCLUSION:
A double layer endometrial thickness of less than 5 mm, as measured by transvaginal ultrasound, does not exclude endometrial cancer as a cause of postemnopausal bleeding in the black female. A black, postmenopausal female with transvaginal ultrasound measured double layer endometrial thickness of 3 mm or greater and postmenopausal bleeding needs further investigation. Age, time since menopause, endometrial thickness and infertility are strongly associated with endometrial cancer in postmenopausal black women.(Au)
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Collection:
01-internacional
Database:
MedCarib
Main subject:
Endometrial Neoplasms
/
Endometrium
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Aspects:
Ethics
Limits:
Aged
/
Female
/
Humans
Country/Region as subject:
Caribe ingles
/
Jamaica
Language:
En
Journal:
West Indian Med J
/
West Indian med. j
/
West Indian medical journal
Year:
2000
Document type:
Article