P30.04: Accuracy of 3D ultrasound in diagnosing uterine pathology in patients with pre‐menopausal bleeding

Evaluate the diagnostic accuracy of 3D ultrasonography versus uterine pathology, in pre-menopausal women having abnormal uterine bleeding. The study included 100 patients from the outpatient Gynecological Clinic, Kasr El-Ainy Hospitals, Cairo University. All patients suffering from pre-menopausal bleeding between 41 and 50 years. 2D ultrasound examination is carried out as a part of the overall clinical assessment. 3D vaginal ultrasound was done for all the patients. Total abdominal hysterectomy with or without bilateral salpingo-oopherectomy according to the condition and sent for histopathological identification of the nature of the endometrium or of any pathological uterine lesion. The main clinical presentations were: menorrhagia 37 cases (37%), metrorrhagia 27 cases (27%) and menometrorrhagia 36 cases (36%). Concerning the lesions within the substance of the uterus not involving the cavity, it was shown that 3D transvaginal ultrasound didn't offer better opportunity than 2D ultrasound concerning diagnosis except in more diagnostic perception of the size and the site of the lesion. 3D U/S detected adenomyosis in 22 cases (22%), fibroids in 37 cases (37%), hyperplasia in 15 cases (15%), polyps in 14 cases (14%) and no pathology in 12 cases (12%). These fibroid lesions detected by 3D U/S are located as: submucous in 18 cases (48.64%), intramural in 11 cases (29.72%), subserous in 8 cases (21.62%). 3D U/S allows surface and volume rendering that can produce photographic images. It is of great value in delineating intramyometrial lesions as adenomyosis and detect with certain the exact position of the submucous myomas or endometrial polypi in relation to the cavity. P30.04: Table 1.