A COMPARATIVE STUDY OF SONOHYSTEROGRAPHY WITH DIAGNOSTIC CURETTAGE IN PATIENTS WITH ABNORMAL UTERINE BLEEDING

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HAJISHAFIHA M.; ZOBEIRI T.; BOROUMANDAN F.; OROJI R.; RAJABPOOR M.

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Journal: Studies in Medical Sciences Year:2006 | Volume:17 | Issue:3 Page(s): 181-187

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Title

A COMPARATIVE STUDY OF SONOHYSTEROGRAPHY WITH DIAGNOSTIC CURETTAGE IN PATIENTS WITH ABNORMAL UTERINE BLEEDING

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SONOHYSTEROGRAPHYQ4

DIAGNOSTIC AND CURETTAGEQ3

ABNORMAL UTERINE BLEEDINGQ3

Abstract

Background and Aims: ABNORMAL UTERINE BLEEDING is an important sign of uterus cancer. Therefore, the outmost precautions are required in its diagnosis and an appropriate treatment of these bleedings. The golden standard for diagnosis of abnormal bleedings with uterus source is D&C (Diagnostic Curettage). Nowadays it has been observed that it is not necessary to perform D & C in all women with ABNORMAL UTERINE BLEEDING. Therefore, it is important to recognize those who may need these procedures. This will decrease the rate of D&C and all probable complications. Recently, one of the paraclinical methods that has attracted experts' attention is performing SONOHYSTEROGRAPHY to study abnormal bleeding of uterine. This may help to eliminate ABNORMAL UTERINE BLEEDING that is the main reason for D&C, so this procedure should be performed to those patients who have abnormal sonohysterographic findings.Materials and Methods: Women with ABNORMAL UTERINE BLEEDING who were addressed to Urmia Kosar Hospital were evaluated and patients who were candidates for D&C were enrolled in our study. SONOHYSTEROGRAPHY was performed by a radiologist in presence of a house resident. D&C was performed by a third year gynecology resident.Results: In eighty-five patients with AuB SONOHYSTEROGRAPHY revealed 15 endometrial polyps or submucous myomas, 16 endometrial with thickness more than 5mm and regular, 4 endometrial with thickness more than 5mmand irregular, 50 endometrial with thickness£5mm. The results of D&C are as follows:1 patient had endometrial cancer, 4 patients had endometrial hyperplasia, 9 had atrophic endometrium, 41 had proliferative endometrium, 18 had secretary endometrium, 10 had pill effect endometrium, and 2 had decidualize endometrium. Our main goal in this study was to predict negative predictive value which was 100%. This value illustrates that 50 cases had normal endometrium on SONOHYSTEROGRAPHY and D&C was normal.Discussion: Due to the fact that one of the reasons for AuB in women is the occurrence of hyperplasia and endometrial cancer, therefore; performing justified diagnosis is necessary. The golden standard for these cases is the performance of D&C. It is preferred to use other paraclinical methods. This may enable us not to use D&C in all other cases of AuB that are candidates for D&C. In cases that SONOHYSTEROGRAPHY does not have positive findings (thickness£5mm and endometrium regular) we could simply eliminate performing D&C because D&C does not have positive finding (endumetrial hyperplasia, cancer, fibroids and polypoied mass) and our study proves this point. In other cases of AuB with local lesions in uterine wall, the intended results may not be found when performing D&C, but in these cases we can localize uterine lesions with doing SONOHYSTEROGRAPHY and then with goaled D&C or even better performing of hysteroscopy; we can pickup focal lesions under direct vision because there was no samples of all uterus with simply performing D&C.

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APA: Copy

HAJISHAFIHA, M., ZOBEIRI, T., BOROUMANDAN, F., OROJI, R., & RAJABPOOR, M.. (2006). A COMPARATIVE STUDY OF SONOHYSTEROGRAPHY WITH DIAGNOSTIC CURETTAGE IN PATIENTS WITH ABNORMAL UTERINE BLEEDING. STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES), 17(3), 181-187. SID. https://sid.ir/paper/64068/en

Vancouver: Copy

HAJISHAFIHA M., ZOBEIRI T., BOROUMANDAN F., OROJI R., RAJABPOOR M.. A COMPARATIVE STUDY OF SONOHYSTEROGRAPHY WITH DIAGNOSTIC CURETTAGE IN PATIENTS WITH ABNORMAL UTERINE BLEEDING. STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES)[Internet]. 2006;17(3):181-187. Available from: https://sid.ir/paper/64068/en

IEEE: Copy

M. HAJISHAFIHA, T. ZOBEIRI, F. BOROUMANDAN, R. OROJI, and M. RAJABPOOR, “A COMPARATIVE STUDY OF SONOHYSTEROGRAPHY WITH DIAGNOSTIC CURETTAGE IN PATIENTS WITH ABNORMAL UTERINE BLEEDING,” STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES), vol. 17, no. 3, pp. 181–187, 2006, [Online]. Available: https://sid.ir/paper/64068/en

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