Typical ultrasound features of various endometrial pathologies described using International Endometrial Tumor Analysis (IETA) terminology in women with abnormal uterine bleeding

Autor: B. Van Calster, T. Van den Bosch, Ekaterini Domali, Tom Bourne, Attila Jakab, Marek Kudla, Jan Y Verbakel, Juan Luis Alcázar, Elisabeth Epstein, Alberto Rossi, F. P. G. Leone, Lil Valentin, Laure Wynants, Ligita Jokubkiene, Maria Angela Pascual, A. Votino, B. De Cock, C. Lanzani, Robert Fruscio, C. Van Pachterbeke, Dirk Timmerman, Povilas Sladkevicius, C. Van Holsbeke
Přispěvatelé: RS: CAPHRI - R5 - Optimising Patient Care, Epidemiologie, Van den Bosch, T, Verbakel, J, Valentin, L, Wynants, L, De Cock, B, Pascual, M, Leone, F, Sladevicius, P, Alcazar, J, Votino, A, Fruscio, R, Lanzani, C, Van Holsbeke, C, Rossi, A, Jokubkiene, L, Kudla, M, Jakab, A, Domali, E, Epstein, E, Van Pachterbeke, C, Bourne, T, Van Calster, B, Timmerman, D
Jazyk: angličtina
Rok vydání: 2021
Předmět:
POLYPS
Technology
diagnosis
Atypical hyperplasia
0302 clinical medicine
Atypia
SALINE INFUSION SONOGRAPHY
Medicine
030212 general & internal medicine
Prospective Studies
endometrium
gray-scale
Atypical Endometrial Hyperplasia
Uterine Diseases
030219 obstetrics & reproductive medicine
Radiological and Ultrasound Technology
OFFICE
Radiology
Nuclear Medicine & Medical Imaging
Obstetrics and Gynecology
Obstetrics & Gynecology
hyperplasia
General Medicine
ultrasonography
Middle Aged
CANCER
diagnosi
Leiomyoma
transvaginal ultrasonography
COLOR DOPPLER
Median body
Female
Radiology
Life Sciences & Biomedicine
Adult
SONOHYSTEROGRAPHY
medicine.medical_specialty
office
03 medical and health sciences
ieta
color doppler
saline infusion sonography
leiomyoma
THICKNESS
Endometrial Polyp
Humans
cancer
Radiology
Nuclear Medicine and imaging
Science & Technology
business.industry
Endometrial cancer
IETA
Acoustics
medicine.disease
Endometrial hyperplasia
Reproductive Medicine
polyp
Uterine Hemorrhage
TRANSVAGINAL ULTRASONOGRAPHY
business
GRAY-SCALE
Zdroj: Ultrasound in Obstetrics & Gynecology, 57(1), 164-172. Wiley
ISSN: 0960-7692
Popis: OBJECTIVE: To describe the ultrasound features of different endometrial and other intracavitary pathologies inpre- and postmenopausal women presenting with abnormal uterine bleeding, using the International Endometrial Tumor Analysis (IETA) terminology. METHODS: This was a prospective observational multicenter study of consecutive women presenting with abnormal uterine bleeding. Unenhanced sonography with color Doppler and fluid-instillation sonography were performed. Endometrial sampling was performed according to each center's local protocol. The histological endpoints were cancer, atypical endometrial hyperplasia/endometrioid intraepithelial neoplasia (EIN), endometrial atrophy, proliferative or secretory endometrium, endometrial hyperplasia without atypia, endometrial polyp, intracavitary leiomyoma and other. For fluid-instillation sonography, the histological endpoints were endometrial polyp, intracavitary leiomyoma and cancer. For each histological endpoint, we report typical ultrasound features using the IETA terminology. RESULTS: The database consisted of 2856 consecutive women presenting with abnormal uterine bleeding. Unenhanced sonography with color Doppler was performed in all cases and fluid-instillation sonography in 1857. In 2216 women, endometrial histology was available, and these comprised the study population. Median age was 49 years (range, 19-92 years), median parity was 2 (range, 0-10) and median body mass index was 24.9 kg/m2 (range, 16.0-72.1 kg/m2 ). Of the study population, 843 (38.0%) women were postmenopausal. Endometrial polyps were diagnosed in 751 (33.9%) women, intracavitary leiomyomas in 223 (10.1%) and endometrial cancer in 137 (6.2%). None (0% (95% CI, 0.0-5.5%)) of the 66 women with endometrial thickness
Databáze: OpenAIRE
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