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Journal of Cardiovascular Disease Research

2021, Vol: 8, Issue: 8
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    Diagnostic accuracy of Trans-vaginal sonography in detection of Endometrial Carcinoma in women having post-menopausal bleeding


    Dr Anuradha Ghosh, Dr Kajal Kumar Patra, Dr Kalyansree Chaudhury, Dr Prabir Sengupta, Dr Mrinal Kanti Ghosh, Dr Kishore P Madhwani
    JCDR. 2023: 120-132

    Abstract

    Bleeding Per vagina following established menopause is called post menopausal bleeding. The significance of postmenopausal bleeding, whatever slight it may be, should not be underestimated. As many as one-third of the cases are due to malignancy. The same importance is also given to those eases where normal menstruation continues even beyond the age or 55 years. In recent years, health aspects of postmenopausal women have gained immense importance as it owes significance importance in gaining life expectancy in these women. Aim and Objectives : The aim of this study was to determine the sensitivity and specificity of transvaginal sonography in detection of endometrial carcinoma. Material and Methods: This study hospital based prospective observational study, has been carried out from May 2020 to April 2021 in the department of Obstetrics and Gynaecology of BMC & H. A total of 96 postmenopausal women who attended outpatient department at the Obstetrics and Gynaecology department of BMCH with the complaint of vaginal bleeding will be included after application of exclusion criteria. Template was generated in MS excel sheet and analysis was done on SPSS. Results: In the present study 1 (53.1%) patients were 51-60 years of age, Mean age (mean ± SD) of patients was 53.6771±6.3965. In our study, 89 (92.7%) patients had endometrial halo. We have found that 49% postmenopausal women have atrophic and senile cystic atmhy, 6.3% patients have carcinoma endometrium. mean years of menopause (mean ± SD) of patients was 7.1406 ± 5.4967. Mean endometrial thickness (mean ±SD) of Patients was 6.7604± 4.3067. In the present study, there is more chance of carcinoma in women with >50 years of age. There is more chance (19.4%) of carcinoma in women having BMI >25. There is 50% chance of endometrial carcinoma in women with other CA and 75% chance of endometrial carcinoma in women with HT N & DM. Conclusion: Transvaginal sonography is safe, simple, non invasive and cost effective in the diagnosis of endometrial carcinoma.

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