Correlation of endometrial lesions by transvaginal sonography and histopathology: A prospective study of 100 symptomatic perimenopausal and postmenopausal women

Abstract

Background: Transvaginalsonography (TVS) and Dilatation and Currettage (D&C) are the diagnostic modalities used to evaluate the endometrial lesions in symptomatic perimenopausal and postmenopausal women. Aims and Objectives: To evaluate the use of TVS for determining endometrial pathologies in perimenopausal and postmenopausal women and to correlate the TVS findings with histopathological findings.Material and Methods: This crossectional prospective study was carried out on 100 symptomatic perimenopausal and postmenopausal women. The parameters assesed in TVS were endometrial thickness, endomyometrial junction, endometrial echotexture and vascularity. Thereafter, the histopathological findings after D&C were correlated with TVS findings. Results: A significant association was seen between TVS findings and histopathology findings. At a cut off of 4mm taken for postmenopausal patients, TVS revealed a sensitivity of 100% and specificity of 100% in detecting endometrial carcinoma. A cut off of 8 mm taken for perimenopausal women revealed a sensitivity of 100% and a specificity of 50.62%.Conclusion: TVS is a highly effective screening test for diagnosing endometrial lesions.