Investigating women with postmenopausal bleeding: The utility of endometrial thickness in transvaginal ultrasound

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Palipana, Dinesh
Fomin, Igor
Russell, Elsa
Chan, Brian
Wong, Chad
Chan, Erick
Ho, Debbie
Walker, Graeme
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2020
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Abstract

BACKGROUND: Australian clinical guidelines recommend further investigation in females with postmenopausal bleeding (PMB) and endometrial thickness (ET) of ≥4 mm on transvaginal ultrasound (TVUS). However, the literature indicates that an ET of ≥3 mm as an upper limit is a more sensitive predictor of endometrial malignancy (EM) in females with PMB. AIMS: To assess whether Australian guidelines for PMB with an upper limit of 4 mm ET on ultrasound investigation, is sensitive enough for malignancy detection. MATERIAL AND METHODS: A retrospective study was performed on tissue results in PMB presentations to the Gold Coast Hospital and Health Service between 2011 and 2015. RESULTS: Twenty percent of women with PMB had a malignancy. With an upper limit of 4 mm in ET on ultrasound, malignancy was present in 22% of participants. CONCLUSIONS: A limit of 3 mm for ET in PMB, along with office endometrial biopsy, should be considered to ensure timely diagnoses.

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Australian and New Zealand Journal of Obstetrics and Gynaecology

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This publication has been entered in Griffith Research Online as an advanced online version.

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Subject

Paediatrics

Reproductive medicine

Health services and systems

Public health

Australian guidelines

endometrial thickness

malignancy

postmenopausal bleeding

ultrasound

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Palipana, D; Fomin, I; Russell, E; Chan, B; Wong, C; Chan, E; Ho, D; Walker, G, Investigating women with postmenopausal bleeding: The utility of endometrial thickness in transvaginal ultrasound, Australian and New Zealand Journal of Obstetrics and Gynaecology, 2020

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