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Journal of Ultrasound in Medicine, Vol 13, Issue 8 623-628, Copyright © 1994 by American Institute of Ultrasound in Medicine
Limitations of transvaginal sonography and color Doppler imaging in the differentiation of endometrial carcinoma from benign lesions
F. Y. Chan, M. T. Chau, T. C. Pun, C. Lam, H. Y. Ngan, L. Leong and R. L. Wong
Department of Obstetrics and Gynecology, University of Hong Kong.
We conducted this study to test the hypothesis that transvaginal
ultrasonography and color Doppler imaging of the uterine arteries are
complementary methods in the assessment of patients with postmenopausal
bleeding. Sixty-seven patients were studied. Seventeen suffered from
endometrial carcinoma, 12 from benign endometrial lesions (six polyp, six
hyperplasia) and 38 had no organic pathology. Transvaginal ultrasonography
was found to be superior to CDI in the detection of pathologic conditions
of the endometrium, but neither method can distinguish benign lesions from
their malignant counterparts. CDI does not give additional information over
that obtained by transvaginal ultrasonography in the assessment of patients
with postmenopausal bleeding, and the limitations of both methods in the
differentiation of endometrial carcinoma from benign lesions need to be
recognized.
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