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Title: Comparison of transvaginal ultrasound, hysteroscopy, and dilatation and curettage in the diagnosis of abnormal vaginal bleeding and intrauterine pathology in perimenopausal and postmenopausal women. Author: Deckardt R, Lueken RP, Gallinat A, Möller CP, Busche D, Nugent W, Salfelder A, Dohnke H, Hoffmeister U, Dewitt E, Hennefründ J, Hasskamp T, Krichbaum M, Maucher A, Auweiler U, Brökelmann J, Saks M, Füger T. Journal: J Am Assoc Gynecol Laparosc; 2002 Aug; 9(3):277-82. PubMed ID: 12101322. Abstract: STUDY OBJECTIVE: To compare transvaginal ultrasound, hysteroscopy, and dilation and curettage (D&C) in the evaluation of women with perimenopausal and postmenopausal bleeding. DESIGN: Descriptive study (Canadian Task Force classification II-1). SETTING: Seven outpatient clinics. PATIENTS: One thousand two hundred eighty-six women. INTERVENTION: Transvaginal ultrasound, hysteroscopy, and D&C. MEASUREMENTS AND MAIN RESULTS: Of our patient population, 29 (2.26%) had a histologic diagnosis of endometrial carcinoma; in 2 of them (7.14%) endometrial thickness was 5 mm or less. In 10 women (34.5%), endometrial carcinoma was missed by hysteroscopy (sensitivity 65.52%, specificity 99.92%). Complication rate of D&C was 1.4%. CONCLUSION: In women with perimenopausal and postmenopausal bleeding neither transvaginal ultrasound nor hysteroscopy as a single diagnostic tool is suitable to rule out endometrial cancer.[Abstract] [Full Text] [Related] [New Search]