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[Evaluation of endometrial carcinoma using hysteroscopy and transvaginal echography]
M Guida1, S Bramante, G Acunzo
1Dipartimento di Ginecologia, Ostetricia e Fisiopatologia della Riproduzione Umana, Università degli Studi di Napoli Federico II.
Objective:
To compare transvaginal ultrasound and hysteroscopy in the diagnosis of endometrial cancer in women with postmenopausal bleeding.
Methods:
Sixty postmenopausal women with abnormal uterin bleeding underwent to transvaginal ultrasound, hysteroscopy and endometrial biopsy.
Results:
USG and hysteroscopy demonstrate respectively a sensitivity of 96% and 90%, specificity of 88% and 94%, positive predictive value of 86% and 92% and negative predictive value of 92% and 96% and accuracy of 89% and 94%.
Conclusions:
The accuracy of hysteroscopy is significantly higher than transvaginal sonography for the detection of endometrial cancer.