Department of Obstetrics and Gynecology, Ultrasound Special Care Unit for the Fetus, Maternity Hospital, Ain Shams University, Cairo, Egypt
Original Article
Transvaginal Power Doppler Sonography as an Adjunct Tool to Histopathology in Detection of Endometrial Changes in Women with Postmenopausal Bleeding
Author(s): Sally AR Kotb*, Nahla M Awad and Amal S Zaghlaul
Background: Postmenopausal bleeding (PMB) represents a practical challenge due to the increased risk of endometrial carcinoma which requires efficient evaluation for optimum management. The use of the three vascular patterns that could be depicted by transvaginal Power Doppler sonography (TVPD) is useful to discriminate endometrial carcinoma from other benign conditions. The aim of this study was to evaluate TVPD in discrimination between benign and malignant endometrial lesions in PMB women compared to the histopathologic diagnosis.
Methods: Eligible 180 patients complaining of PMB were involved in the study, they were examined by Gray scale transvaginal sonography to assess the endometrium, TVPD scanning of the endometrial and endometrial myometrial interface vessels (Spiral arteries), followed by pulsed Doppler velocimetry and lastly endo.. Read More»