The clinical importance of polyp size measurement through two‐dimensional saline infusion sonohysterography prior to hysteroscopic resection in predicting premalignant and malignant endometrial lesions
Autor: | Ahmet Göçmen, Gürkan Kıran, Serkan Akis |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Saline infusion Hysteroscopy Malignancy Endometrium Polyps Pregnancy medicine Endometrial Polyp Humans Retrospective Studies Uterine Diseases medicine.diagnostic_test Receiver operating characteristic business.industry Area under the curve Obstetrics and Gynecology Retrospective cohort study Polyp size General Medicine medicine.disease Endometrial Neoplasms Uterine Neoplasms Female Radiology business Precancerous Conditions |
Zdroj: | International Journal of Gynecology & Obstetrics. 157:582-587 |
ISSN: | 1879-3479 0020-7292 |
DOI: | 10.1002/ijgo.13925 |
Popis: | To evaluate the clinical importance of endometrial polyp size measured using saline infusion sonohysterography (SIS) before performing a hysteroscopic resection in predicting premalignant/malignant lesions.A retrospective observational study analysis was conducted of 365 patients, who underwent SIS, in a reference hospital. The longest plane of the polyp size was taken as base. Polyps were classified as benign, premalignant, or malignant.The rates of premalignant and malignant lesions were 7.4% and 0.9%, respectively. The mean polyp size was 17.7 ± 0.5 mm in benign patients and 23.7 ± 1.8 mm in premalignant/malignant individuals (P 0.001). In the group of polyps that were 0-10, 10-20, 20-30, and30 mm, premalignancy/malignancy rates were 0.0%, 4.8%, 13.3%, and 18.8%, respectively. The cut-off value for polyp size to be able to predict lesions was calculated as 22.5 mm (sensitivity: 63%, specificity: 80%) on receiver operating characteristics curve analysis (P = 0.001, area under the curve 0.732). The power of the study was calculated as 90.86%.During the female reproductive years, endometrial polyps smaller than 10 mm, as measured in SIS, can be followed. However, when the polyp size is 22.5 mm or more, especially in postmenopausal women, treatment should be planned. |
Databáze: | OpenAIRE |
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