[Diagnosis and control of the treatment of patients with precancerous conditions of the endometrium using transvaginal echography].

In: Akusherstvo i ginekologiia · 1992 · pp. 50–2 · PMID:1481966 · W2415935702
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Transvaginal echography effectively diagnosed endometrial precancerous conditions and monitored hormonal therapy efficacy in 26 women, establishing M-echo thickness thresholds for hyperplasia, polyposis, and atrophy.

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Abstract

Twenty-six women aged 41 to 73 with clinical and morphologic forms of endometrial precancer were examined by transvaginal ultrasonic scanning. This method was employed both in the diagnosis and monitoring of the efficacy of hormone therapy. The final diagnosis was made on the basis of histologic examination of endometrial scrapings-off. The results evidence that transvaginal echography is a sufficiently informative method for the diagnosis of this condition and for monitoring the endometrial status over the course of hormonal therapy. The mean size of M-echo in the postmenopause was established: 2.35 +/- 0.07 mm in health or not imaged in endometrial atrophy. M-echo thickness of 11 +/- 0.02 mm may be indicative of the therapy inefficacy or endometrial hyperplasia, and the thickness of 8.7 +/- 0.7 mm indicates polyposis.

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