Is there a place for sonohysterobiopsy in the evaluation of endometrial pathologies in postmenopausal asymptomatic women with thickened endometrium?

Abdurrahman Tokalıoglu; Berna Dilbaz; Runa Özelçi; Eda Tokalıoglu; Bora Çoşkun

doi:10.17826/cumj.690986

EN TR

Is there a place for sonohysterobiopsy in the evaluation of endometrial pathologies in postmenopausal asymptomatic women with thickened endometrium?

Öz

Purpose: The aim of this study was o compare the diagnostic value of sonohysterobiopsy to a method involving saline infusion sonography followed by dilatation and curettage in detecting endometrial pathologies in postmenopausal asymptomatic women with an endometrial thickness greater than 5 mm.
Materials and Methods: Asymptomatic postmenopausal women who were diagnosed by means of transvaginal ultrasonography with endometrial thickness greater than 5 mm were assigned to two diagnostic groups prior to hysteroscopy. The study group included patients who underwent sonohysterobiopsy (SHB) during saline infusion sonohysterography (SIS). The control group included patients who underwent SIS followed by dilatation and curettage (D&C).
Results: In 35 patients (35%), at least one of the risk factors for endometrial malignancy was present. The histopathological evaluation of the specimens showed presence of a polyp in 40 (60%) patients who underwent SIS and D&C. SHB results were more concordant with the hysteroscopic findings compared to those of SIS and D&C. The cut-off value for the accurate diagnosis of an endometrial polyp with SHB was 10 mm, with a sensitivity of 96% and a specificity of 100%.
Conclusion: Sonohysterobiopsy is an efficient and safe procedure with a high sensitivity and specificity for the diagnosis of endometrial pathologies.

Anahtar Kelimeler

sonohysterobiopsy, endometrial pathology, postmenopaısal

Asemptomatik postmenopozal kadınlardaki endometrial patolojilerin değerlendirilmesinde sonohisterobiopsinin yeri var mı?

Öz

Amaç: Bu çalışmanın amacı endometrial kalınlık ölçümü 5 mm üzerinde olan asemptomatik postmenopozal kadınlarda salin infüzyon sonografi sonrası dilatasyon ve kuretaj ile sonohisterobiopsinin (SHB) tanısal değerlerinin karşılaştırılmasıdır
Gereç ve yöntem: Transvajinal ultrasonografi ile endometrium kalınlığı 5 mm üzeri tespit edilen asemptomatik postmenopozal kadınlar histeroskopi öncesinde iki gruba ayrıldı. Salin infuzyon sonografi (SIS) ile eş zamanlı sonohisterobiopsi yapılan 50 olgu çalışma grubu olarak (Grup 1), salin infuzyon sonografi ardından kuretaj yapılan hastalar ise kontrol grubu olarak belirlendi(Grup2).
Bulgular: Olguların %35’inde endometrium kanseri açısından en az 1 tane risk faktörü vardı. SIS ve sonrasında kuretaj yapılan hastaların %60’ ınde histopatolojik incelemede polip bulundu. SHB bulguları SIS ve kuretaj yapılan olgularla karşılaştırıldığında histeroskopik bulgularla daha uyumlu bulundu. SHB ile endometrial poliplerin kesin tanı ve tedavisi için eşik değer % 96 duyarlılık ve %100 özgüllük ile 10 mm olarak bulundu.
Sonuç: SHB endometrial patolojilerin tanı ve tedavisinde yüksek duyarlılık ve özgüllüğe sahip etkili ve güvenli bir yöntemdir.

Anahtar Kelimeler

sonohisterobiopsi, postmenopozal, endometrial pathology

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Kadın Hastalıkları ve Doğum

Bölüm

Araştırma Makalesi

Yazarlar

Abdurrahman Tokalıoglu
0000-0002-1776-2744
Türkiye

Berna Dilbaz
0000-0003-1137-8650
Türkiye

Runa Özelçi ^*
0000-0002-9267-8702
Türkiye

Eda Tokalıoglu Bu kişi benim
0000-0003-4901-0544
Türkiye

Bora Çoşkun
0000-0002-2338-7186
Türkiye

Yayımlanma Tarihi

30 Eylül 2020

Gönderilme Tarihi

19 Şubat 2020

Kabul Tarihi

21 Haziran 2020

Yayımlandığı Sayı

Yıl 2020 Cilt: 45 Sayı: 3

DOI

https://doi.org/10.17826/cumj.690986

IZ

https://izlik.org/JA88EJ75KH

APA

Tokalıoglu, A., Dilbaz, B., Özelçi, R., Tokalıoglu, E., & Çoşkun, B. (2020). Is there a place for sonohysterobiopsy in the evaluation of endometrial pathologies in postmenopausal asymptomatic women with thickened endometrium? Cukurova Medical Journal, 45(3), 1080-1088. https://doi.org/10.17826/cumj.690986

AMA

1.Tokalıoglu A, Dilbaz B, Özelçi R, Tokalıoglu E, Çoşkun B. Is there a place for sonohysterobiopsy in the evaluation of endometrial pathologies in postmenopausal asymptomatic women with thickened endometrium? Cukurova Med J. 2020;45(3):1080-1088. doi:10.17826/cumj.690986

Chicago

Tokalıoglu, Abdurrahman, Berna Dilbaz, Runa Özelçi, Eda Tokalıoglu, ve Bora Çoşkun. 2020. “Is there a place for sonohysterobiopsy in the evaluation of endometrial pathologies in postmenopausal asymptomatic women with thickened endometrium?”. Cukurova Medical Journal 45 (3): 1080-88. https://doi.org/10.17826/cumj.690986.

EndNote

Tokalıoglu A, Dilbaz B, Özelçi R, Tokalıoglu E, Çoşkun B (01 Eylül 2020) Is there a place for sonohysterobiopsy in the evaluation of endometrial pathologies in postmenopausal asymptomatic women with thickened endometrium? Cukurova Medical Journal 45 3 1080–1088.

IEEE

[1]A. Tokalıoglu, B. Dilbaz, R. Özelçi, E. Tokalıoglu, ve B. Çoşkun, “Is there a place for sonohysterobiopsy in the evaluation of endometrial pathologies in postmenopausal asymptomatic women with thickened endometrium?”, Cukurova Med J, c. 45, sy 3, ss. 1080–1088, Eyl. 2020, doi: 10.17826/cumj.690986.

ISNAD

Tokalıoglu, Abdurrahman - Dilbaz, Berna - Özelçi, Runa - Tokalıoglu, Eda - Çoşkun, Bora. “Is there a place for sonohysterobiopsy in the evaluation of endometrial pathologies in postmenopausal asymptomatic women with thickened endometrium?”. Cukurova Medical Journal 45/3 (01 Eylül 2020): 1080-1088. https://doi.org/10.17826/cumj.690986.

JAMA

1.Tokalıoglu A, Dilbaz B, Özelçi R, Tokalıoglu E, Çoşkun B. Is there a place for sonohysterobiopsy in the evaluation of endometrial pathologies in postmenopausal asymptomatic women with thickened endometrium? Cukurova Med J. 2020;45:1080–1088.

MLA

Tokalıoglu, Abdurrahman, vd. “Is there a place for sonohysterobiopsy in the evaluation of endometrial pathologies in postmenopausal asymptomatic women with thickened endometrium?”. Cukurova Medical Journal, c. 45, sy 3, Eylül 2020, ss. 1080-8, doi:10.17826/cumj.690986.

Vancouver

1.Abdurrahman Tokalıoglu, Berna Dilbaz, Runa Özelçi, Eda Tokalıoglu, Bora Çoşkun. Is there a place for sonohysterobiopsy in the evaluation of endometrial pathologies in postmenopausal asymptomatic women with thickened endometrium? Cukurova Med J. 01 Eylül 2020;45(3):1080-8. doi:10.17826/cumj.690986

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Is there a place for sonohysterobiopsy in the evaluation of endometrial pathologies in postmenopausal asymptomatic women with thickened endometrium?

Öz

Anahtar Kelimeler

Asemptomatik postmenopozal kadınlardaki endometrial patolojilerin değerlendirilmesinde sonohisterobiopsinin yeri var mı?

Öz

Anahtar Kelimeler

Kaynakça

Ayrıntılar

Birincil Dil

Konular

Bölüm

Yazarlar

Yayımlanma Tarihi

Gönderilme Tarihi

Kabul Tarihi

Yayımlandığı Sayı

DOI

IZ

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