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Wong, A.W., Lao, T.H., Cheung, C.W., Yeung, S.W., Fan, H.L., Ng. P.S. and Sahota, D.S. (2016) Reappraisal of Endometrial Thickness for the Detection of Endometrial Cancer in Postmenopausal Bleeding: A Retrospective Cohort Study. BJOG: An International Journal of Obstetrics & Gynaecology, 123, 439-446.
https://doi.org/10.1111/1471-0528.13342

has been cited by the following article:

• TITLE: Endometrial Evaluation by Transvaginal Ultrasonography Saline Infusion Sonohysterography, Hysteroscopy versus Endometrial Office Bipsy in Perimenopausal Bleeding: A Comparative Study

  AUTHORS: Mohamed Kamal, Almandouh H. Bosilah

  KEYWORDS: Perimenopausal Bleeding, Hysteroscopy, Endometrial Office Biopsy

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.10 No.8, August 24, 2020

  ABSTRACT: Postmenopausal bleeding is a very common and alarming symptom accounting for 5 percent of all gynecological outpatients’ clinic attendances. This cross-section study was conducted in the Department of Obstetrics and Gynecology at University Hospitals and included 176 patients with perimenopausal bleeding who attended a patient clinic during the period from January 2017 to May 2019. All patients were subjected to transvaginal ultrasound, saline sonohysterography and out-patient endometrial sampling using pipelle; all the results were compared to histopathology obtained by hysteroscopic guided biopsy and/or hysterectomy. Result: In comparing the validity of TVS and SHG we found highly significant decrease in malignancy assessment in the TVS method compared to hysteroscopic-guided biopsy. According to the validity of pipelle in detection of malignant lesion, it was found to detect 80 cases out of 88 cases of malignancy with sensitivity 90.9%, specificity 100% and 95.45% accuracy with respect to histopathology by hysteroscopy guided biopsy and/or hysterectomy. Combination tests were done between SHG and pipelle and we found that the validity of combination tests in detecting malignancy improves the sensitivity and specificity in detection of malignancy sensitivity = 100% and specificity = 100% and this was found to be as an effective method in detection of malignancy. Conclusion: When SHG combined to outpatient endometrial sampling “pipelle”, the results were the same as hysteroscopy.