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Acta clinica Croatica, Vol. 58. No. 2., 2019.

Original scientific paper

https://doi.org/10.20471/acc.2019.58.02.07

Clinical Value of Transvaginal Ultrasonography in Comparison to Hysteroscopy with Histopathologic Examination in Diagnosing Endometrial Abnormalities

Hrvojka Soljačić Vraneš ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Ivka Djaković orcid id orcid.org/0000-0003-2275-6389 ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Zdenko Kraljević ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Sandra Nakić Radoš ; Department of Psychology, Catholic University of Croatia, Zagreb, Croatia
Tanja Leniček ; Ljudevit Jurak University Department of Pathology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Krunoslav Kuna ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia

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Abstract

The aim of our retrospective study was to compare the performance of transvaginal sonography in relation to histologic diagnosis of samples obtained by hysteroscopy through analysis of data collected over 16 years. Data on suspected formation of endometrial polyp or submucosal fibroid found on ultrasound examination were extracted. The study included a total of 3679 women examined during the 2000-2015 period. All women underwent ultrasound examination preoperatively for better
planning the type and scope of operation to be performed. The study included only women with samples for histopathologic analysis collected during the operation. Ultrasound diagnosis of polyps compared with histology showed 89.6% sensitivity and 39.1% specificity. For submucosal myomas, sensitivity was 69.2% and specificity 91.3%. In conclusion, ultrasound is not reliable method for definitive diagnosis but it is an excellent orientation method.

Keywords

Hysteroscopy; Polyps; Ultrasonography; Retrospective studies; Uterine neoplasms; Leiomyoma

Hrčak ID:

224354

URI

https://hrcak.srce.hr/224354

Publication date:

1.6.2019.

Article data in other languages: croatian

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