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Middle East Fertility Society Journal
Middle East Fertility Society
ISSN: 1110-5690
Vol. 17, No. 1, 2012, pp. 22-29
Bioline Code: mf12005
Full paper language: English
Document type: Research Article
Document available free of charge

Middle East Fertility Society Journal, Vol. 17, No. 1, 2012, pp. 22-29

 en Transvaginal power Doppler sonography can discriminate between benign and malignant endometrial conditions in women with postmenopausal bleeding
Aboul-Fotouh, Mahmoud El-Morsi; Mosbeh, Mohammed Hani; El-Gebaly, Ahmed Fathi & Mohammed, Ahmed Nageeb


Objective: To evaluate the role of transvaginal power Doppler sonography in differentiation between benign and malignant endometrial conditions in women with postmenopausal bleeding.
Setting: OB/GYN Dept., Suzan Mubarak University Hospital and Radiology Dept., Minia University Hospital, Minia University, Minia, Egypt.
Study design: Prospective observational study.
Patients: Eighty patients with postmenopausal bleeding.
Intervention(s): Grey scale transvaginal sonography, power Doppler study of the endometrium and endometrial-myometrial interface, and office hysteroscopy and the final diagnosis by histopathological examination of hysteroscopic guided biopsy.
Results: Endometrial power Doppler signals were positive in 69 out of the eighty patients (86.25%): 8 cases showed multiple vessel pattern -A- (10%); 19 cases with single vessel pattern - B- (23.75%); 42 cases with scattered vessel pattern -C- (52.5%) while in the remaining 11 cases (13.75%), no power Doppler signals were detected. The hysteroscopic findings were endometrial polyp in 16 cases (20%), atrophic endometrium in 14 cases (17.5%), hyperplasic endometrium in 32 cases (40%), submucus fibroid in 6 cases (7.5%), cervical polyp in 3 cases (3.75%) and suspicious endometrium for malignancy in 8 cases (10%). Hysteroscopy was more accurate in cases with intracavitary masses (polyps and submucous fibroids) than power Doppler, but power Doppler had a more predictive value for malignant endometrium.
Conclusion: Power Doppler blood flow mapping of the endometrium in women with postmenopausal bleeding is useful to discriminate carcinoma from other endometrial pathologies.

Postmenopausal bleeding; Transvaginal sonography; Power Doppler sonography; Office hysteroscopy; Hysteroscopic guided biopsy

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