Is transvaginal ultrasound an appropriate screening tool for endometrial cancer in asymptomatic postmenopausal women? A case report.

Autor: Abdelazim IA; Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt.; Department of Obstetrics and Gynecology, Ahmadi Hospital, Kuwait Oil Company (KOC), Ahmadi, Kuwait., AbuFaza M; Department of Obstetrics and Gynecology, Ahmadi Hospital, Kuwait Oil Company (KOC), Ahmadi, Kuwait., Bekmukhambetov Y; Department of Oncology, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan., Zhurabekova G; Department of Normal and Topographic Anatomy, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan.
Jazyk: angličtina
Zdroj: Journal of family medicine and primary care [J Family Med Prim Care] 2020 Feb 28; Vol. 9 (2), pp. 1257-1259. Date of Electronic Publication: 2020 Feb 28 (Print Publication: 2020).
DOI: 10.4103/jfmpc.jfmpc_1085_19
Abstrakt: A 55-years-old woman menopausal for the last 6 years discovered to have an endometrial thickness (ET) > 12 mm (suspected endometrial polyp) during routine evaluation in the gynaecology clinic using the transvaginal ultrasound (TVS). Departmental ultrasound confirmed the same TVS findings and suggested the presence of endometrial polyp as the main cause of the ET. Based upon the patient's risk factors (diabetic, hypertensive, obese with family history of endometrial cancer), a departmental decision was taken to proceed for diagnostic hysteroscopy and polypectomy after informed written consent. Large endometrial polyp and submucosal fibroid were found and excised during hysteroscopy. The histopathological results confirmed the intraoperative diagnosis of the endometrial polyp and submucosal fibroid. This report supports the American College of Obstetricians and Gynecologists recommendations and highlights that the TVS is not an appropriate screening tool for asymptomatic postmenopausal women. In addition, the ET > 4 mm in asymptomatic postmenopausal women does not need evaluation.
Competing Interests: There are no conflicts of interest.
(Copyright: © Journal of Family Medicine and Primary Care.)
Databáze: MEDLINE
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