SONOGRAPHIC AND HISTOPATHOLOGICAL CORRELATION AND EVALUATION OF ENDOMETRIUM IN WOMEN WITH PERIMENOPAUSAL AND POSTMENOPAUSAL BLEEDING

DR.K.SHANTHI ELANGO; DR.VAISHNAVI

Volume : VI, Issue : IX, September - 2017

SONOGRAPHIC AND HISTOPATHOLOGICAL CORRELATION AND EVALUATION OF ENDOMETRIUM IN WOMEN WITH PERIMENOPAUSAL AND POSTMENOPAUSAL BLEEDING

Dr. K. Shanthi Elango, Dr. Vaishnavi

Abstract :

Aim: In this study we evaluate the usefulness of transvaginal ultrasound to assess endometrial thickness and endometrial pathology, and its correlation with histopathology in cases of perimenopausal and postmenopausal beeding.

Methods: It is a prospective study done on 100 women who were enrolled between August 2015 to July 2016. Out of 100 cases, 50 women were in perimenopausal age group and 50 were in postmenopausal age group.

Result: From this study 50 % of women with atrophic endometrium had a mean endometrial thickness <5mm and 50% of women with endometrial pathology had a thickness >5mm.

Conclusion: TVS is useful as a first step diagnostic procedure in the evaluation of peri and postmenopausal bleeding. This study proves that this diagnostic tool correlates well with the histopathology findings. TVS with HPE correlation helps us to identify atypical hyperplasia at the earliest which is a precursor of adenocarcinoma in 29%.