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Diagnostic utility of saline infusion doppler sonohysterography in endometrial mass lesions.
- Source :
-
Pakistan journal of medical sciences [Pak J Med Sci] 2016 Mar-Apr; Vol. 32 (2), pp. 284-8. - Publication Year :
- 2016
-
Abstract
- Objective: To evaluate the importance of saline infusion Doppler sonohysterography (SIS-D) in the assessment of transvaginal ultrasound (TVUSG)-suspected intrauterine mass lesions in women complaining about abnormal uterine bleeding with respect to hysteroscopy (H/S) and pathologic diagnosis.<br />Methods: This study was conducted on patients, who visited to our clinic with abnormal uterine bleeding and whose TVUSGs indicated intrauterine masses. The study covered a total of 100 patients. SIS-D and hysteroscopy were performed on those 100 patients. SIS-D results were compared with hysteroscopy results. The relation between SIS-D findings and pathology results were evaluated.<br />Results: For SIS; specificity was 96%, sensitivity was 60%, positive predictive value (PPV) was 87.8%, negative predictive value (NPV) was 83.3%, and the accuracy rate was 87%. For TVUSG; PPV was 75%. According to SIS-D, 92.2% of the lesions that had single-vessel feeding patterns were endometrial polyps, and this was statistically significant (p<0.0001). 57.1% of the lesions that had multiple-vessel feeding patterns were submucous myomas, and this was statistically significant (p<0.0001).<br />Conclusion: SIS should be performed in patients before hysteroscopy because it will protect a considerable number of patients from unnecessary invasive procedures. SIS-D gives an idea on the histopathology of the mass.
Details
- Language :
- English
- ISSN :
- 1682-024X
- Volume :
- 32
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Pakistan journal of medical sciences
- Publication Type :
- Academic Journal
- Accession number :
- 27182224
- Full Text :
- https://doi.org/10.12669/pjms.322.9452