Diagnostic Strategies for Postmenopausal Bleeding
| Autor: | M. C. Breijer, A. Timmermans, H. C. van Doorn, B. W. J. Mol, B. C. Opmeer |
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| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: | |
| Zdroj: | Obstetrics and Gynecology International, Vol 2010 (2010) |
| Druh dokumentu: | article |
| ISSN: | 1687-9589 1687-9597 |
| DOI: | 10.1155/2010/850812 |
| Popis: | Postmenopausal bleeding (PMB) is a common clinical problem. Patients with PMB have 10%–15% chance of having endometrial carcinoma and therefore the diagnostic workup is aimed at excluding malignancy. Patient characteristics can alter the probability of having endometrial carcinoma in patients with PMB; in certain groups of patients the incidence has been reported to be as high as 29%. Transvaginal sonography (TVS) is used as a first step in the diagnostic workup, but different authors have come to different conclusions assessing the accuracy of TVS for excluding endometrial carcinoma. Diagnostic procedures obtaining material for histological assessment (e.g., dilatation and curettage, hysteroscopy, and endometrial biopsy) can be more accurate but are also more invasive. The best diagnostic strategy for diagnosing endometrial carcinoma in patients with PMB still remains controversial. Future research should be focussed on achieving a higher accuracy of different diagnostic strategies. |
| Databáze: | Directory of Open Access Journals |
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