Please use this identifier to cite or link to this item:
https://olympias.lib.uoi.gr/jspui/handle/123456789/484| Title: | Screening περί-και μετεμμηνοπαυσιακών γυναικών για την πρώιμη ανίχνευση ενδομήτριας παθολογίας |
| Institution and School/Department of submitter: | Πανεπιστήμιο Ιωαννίνων Σχολή Ιατρικής Τμήμα Ιατρικής Τομέας Χειρουργικός Κλινική Μαιευτική Γυναικολογική Πανεπιστημιακού Γενικού Νοσοκομείου Ιωαννίνων Εργαστήριο Παθολογοανατομικό |
| Subject classification: | Ενδομήτριο Εμμηνόπαυση Ασθένειες |
| Keywords: | Αναρροφητική βιοψία ενδομητρίου,Διακολπική υπερηχογραφία,Ενδομήτρια παθολογία,Ενδομήτρια υπερπλασία,Ενδομήτριος καρκίνος |
| URI: | https://olympias.lib.uoi.gr/jspui/handle/123456789/484 http://dx.doi.org/10.26268/heal.uoi.151 |
| Link: | http://thesis.ekt.gr/thesisBookReader/id/11326#page/1/mode/2u |
| Table of contents: | THE PURPOSE OF THE STUDY WAS TO INVESTIGATE THE EFFECTIVENESS OF THE COMBINED PROCEDURE INCLUDING TRANSVAGINAL ULTRASOUND AND ASPIRATION ENDOMETRIAL BIOPSYFOR THE EARLY DETECTION OF ENDOMETRIAL ABNORMALITY. 432 ASYMPTOMATIC WOMEN >40 YEARS OLD, UNDERWENT PELVIC EXAMINATION AND ENDOMETRIAL THICKNESS MEASUREMENT (229 POSTMENOPAUSAL, 203 PERIMENOPAUSAL). WHEN THE ENDOMETRIUM WAS >3MM FOR POSTMENOPAUSAL AND >5MM FOR PERIMENOPAUSAL. A MEASUREMENT OF ENDOMETRIAL VOLUME AND AN ENDOMETRIAL BIOPSY WERE PERFORMED. HISTOLOGIC RESULT WAS NON DIAGNOSTIC IN 16 CASES. FROM A TOTAL OF 59 POSTMENOPAUSAL WOMEN, 1 CASE OF ADENOCARCINOMA, 11 CASES OF ENDOMETRIAL HYPERPLASIA AND 4 POLYPS WERE DETECTED BY BIOPSY WHICH ALSO REVEALED 11 CASES OF ENDOMETRIAL HYPERPLASIA, 1 POLYP AND1 ENDOMETRIAL INFECTION IN THE GROUP OF 80 PERIMENOPAUSAL WOMEN. IN ALL THE ABNORMAL POSTMENOPASUAL ENDOMETRIA THICKNESS AND VOLUME WERE >9MM AND 3ML RESPECTIVELY AND FOR THIS CUTOFF LIMITS TVS WOULD HAVE 100% SENSITIVITY 90.6% SPECIFICITY AND 80% PPV FOR THICKNES AND 100% SENSITIVITY, 97.4% SPECIFICITY AND 94.1 PPV FOR VOLUME IN DETECTING ENDOMETRIAL ABNOMARLITY. ALL THE ABNORMALPERIMENOPAUSAL WOMEN HAD THICKNESS >13MM AND VOLUME >5ML AND FOR THIS CUTOFFLIMITS TVS WOULD HAVE 100% SENSITIVITY, 71.6% SPECIFICITY AND 40.6% PPV FORTHICKNESS AND 100% SENSITIVITY, 97% SPECIFICITY AND 86.6% PPV FOR VOLUME. THE COMBINATION OF ENDOMETRIAL THICKNESS AND VOLUME MEASUREMENTS AND ASPIRATIONBIOSPY WHEN THICKNESS IS >9MM OR VOLUME >3ML COULD (ABSTRACT TRUNCATED). |
| Appears in Collections: | Διδακτορικές Διατριβές - ΙΑΤ |
Files in This Item:
There are no files associated with this item.
This item is licensed under a Creative Commons License
