[The evaluation of the transvaginal ultrasonography of endometrial thickness in women with postmenopausal bleeding and suspected endometrial carcinoma].

The aim of our research work was to assess the transvaginal ultrasonography for measurement of endometrial thickness in women with postmenopausal bleeding, and in this way to determine the less invasive treatment. We wanted to make a grading of endometrial cancer, in order to choose patients who need pelvic and para-aortal lymph dissection. We examined 84 patients by ultrasonography and histological examination of the endometrium. Under 8 mm thickness were not found precancer and cancer lesions. The mean endometrial thickness was 8.25c1.63 mm, while in non pathological lesions was 1.36c1.10 mm. In order to diagnose endometrial pathology we determined border of 5 mm. Over 5 mm the ultrasonography has a 88.6% sensitivity, 90.6% specificity, 4.6% false negatives results--3 polyps, 1 glandular hyperplasia. Nevertheless that we determined border of 5 mm under which with great possibility there is no endometrial cancer, we don't support authors who advise not make a D&C. Future examinations in this field will give more light on this problem.