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Scholars Journal of Applied Medical Sciences | Volume-5 | Issue-11
Correlation between Transvaginal Sonography and Histopathological Examination Findings in Women with Postmenopausal Bleeding
Dr. Nabanita Deka, Dr. Gokul Chandra Das, Dr. Bijeta
Published: Nov. 30, 2017 | 291 207
DOI: 10.36347/sjams.2017.v05i11.052
Pages: 4578-4583
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Abstract
Postmenopausal bleeding (PMB) accounts for 5% of all gynaecological Outpatient Department visits. PMB must be regarded as a symptom of genital tract malignancy until proved otherwise. Objective of the current study was to study the correlation between the Transvaginal Sonography findings and the Histopathological Examination findings of the endometrium in women with PMB. The prospective study was conducted from June, 2016 to May, 2017 in Gauhati Medical College and Hospital. 70 women with postmenopausal bleeding were subjected to transvaginal sonography and those with endometrial thickness of ≥ 4mm (no. = 50) were further subjected to dilatation and curettage; the TVS results were correlated to the histopathological picture of the endometrium in order to obtain appropriate diagnosis of endometrial lesions. Findings were compared and chi square test was used for statistical analysis. The most common cause of postmenopausal bleeding is atrophic endometrium followed by simple endometrial hyperplasia. This study reveals TVS can be used as a first line of investigation in women with PMB.