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Transvaginal ultrasonography of the endometrium in women with postmenopausal bleeding: is it always necessary to perform an endometrial biopsy?

Abstract：

OBJECTIVE:This study was undertaken to evaluate whether it was possible to abstain from performing an endometrial biopsy when endometrial thickness according to transvaginal ultrasonography was /=50 years who were referred because of postmenopausal bleeding or irregular bleeding during hormone replacement therapy. If endometrial thickness was /=5 mm underwent either curettage or endometrial biopsy. RESULTS:One hundred sixty-three women had an endometrial thickness /=5 mm. The corresponding figure when atypical hyperplasia and endometrial metastases were included was 20. 2%. CONCLUSION:If the false-negative rate of endometrial biopsy techniques is taken into account, then the combination of transvaginal ultrasonography and cervical cytologic examination is an adequate form of management for women with postmenopausal bleeding or irregular bleeding during hormone replacement therapy as long as endometrial thickness is

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Gull B,Carlsson S,Karlsson B,Ylöstalo P,Milsom I,Granberg S

doi

10.1067/mob.2000.103092

subject

Has Abstract

pub_date

2000-03-01 00:00:00

pages

509-15

issue

3

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(00)80007-1

journal_volume

182

pub_type

临床试验,杂志文章

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