Abstract

The aim of this study is to study role of hysteroscopy in the diagnosis of endometrial cancer. The patients coming to the outpatient department with complaint of postmenopausal bleeding were selected for the study. Each patient underwent TVS to define endometrial thickness. In a sagittal scan, the operator calculated the maximum distance between the two lines of the endometrium/myometrium interface. The cutoff used to suspect the presence of endometrial pathology was a maximum thickness >5. Those patients with endometrial thickness more than or equal to 5mm were admitted one day before the procedure after they each signed informed consent forms. Under appropriate anaesthesia,cervical dilatation upto at least 8mm was achieved. Result: The women’s he mean age was 62.5 as against 61.2+_5.2 years found in the study. The most frequent endometrial lesion was endometrial polyp which was consistent. Conclusion: Hysteroscopy is an additional tool in the diagnosis of endometrial cancer. However, its use in the initial workup is still controversial. In order to minimize the small risk of cancer dissemination, hysteroscopy should be performed with an intrauterine pressure of less than 80 mmHg, and the duration of the procedure should be as short as possible. In order to rule out endometrial hyperplasia and cancer in postmenopausal women with bleeding or asymptomatic women with endometrial thickness more than or equal to 5mm, performing hysteroscopy and taking endometrial biopsies is recommended even if no lesion has been found. Hysteroscopy is highly sensitive and clinically useful in diagnosing endometrial cancer in women with abnormal uterine bleeding. Its high sensitivity relates to diagnosing cancer rather than excluding it. Recent advances in iinstrumentation have allowed hysteroscopy to be performed in an ambulatory setting, further increasing it’s use. However, further studies with more no. of participants are needed to find the optimum endometrial thickness in asymptomatic postmenopausal women.

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