Three-Dimensional Endometrial Volume and Power Doppler Angiography for Prediction of Endometrial Carcinoma in Woman with Postmenopausal Bleeding | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 5, Volume 77, Issue 5, October 2019, Page 5542-5548 PDF (318.42 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2019.60863 | ||||
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| Authors | ||||
| Esmael Mohammed Talaat Elgarhy1; Mohammed Abd El-Kreem Kassem2; Mahmoud Abd El-Ghaffar Morsi Alzayat1 | ||||
| 1Obstetrics and Gynecology Department, Faculty of Medicine, Al-Azhar University | ||||
| 2Obstetrics and Gynecology Department, Medical Military Academy | ||||
| Abstract | ||||
| Background: A woman is considered menopausal after cessation of menstruation for one year. The goal of evaluations of postmenopausal bleeding (PMB) is to achieve the diagnosis with greatest accuracy, the least risk and expense for the patient. Transvaginal ultrasound (TVS) is imaging technique of choice for first line investigation of endometrial abnormalities as a possible cause of abnormal uterine bleeding, malignant and benign endometrial patterns can often be determined by TVS which can help diagnosis. Objectives: This study aims to assess the accuracy of endometrial volume and vascularization index assessed by three-dimensional ultrasound in prediction of endometrial carcinoma in woman with postmenopausal bleeding. Patients and Methods: This study was conducted in Ghamra Military Hospital on 100 women with postmenopausal bleeding. Results: Our results revealed that both endometrial thickness, volume, and 3D-PDA indices may discriminate between endometrial cancer and benign conditions in women with postmenopausal bleeding. All parameters of our study were not significant in diagnosis of cancer in women with postmenopausal bleeding. Conclusion: The diagnostic performance of the measurement of the size of the endometrium by three-dimensional ultrasound with respect to the distinction between benign and malignant endometriosis was higher when compared to the measurement of the thickness of the endometrium with 2D ultrasound.The Doppler flow indicators have three-dimensional power as good diagnostic tools in predicting endometrial cancer But it cannot rule out the presence of malignant tumors endometriosis. | ||||
| Keywords | ||||
| Three-Dimensional Endometrial Volume; Power Doppler Angiography; Endometrial carcinoma; Postmenopausal bleeding | ||||
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