Post-Menopausal Bleeding: Role of Imaging

IF 1.5 4区医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Seminars in Ultrasound Ct and Mri Pub Date : 2023-10-11 DOI:10.1053/j.sult.2023.10.003

Sandra Hurtado MD , Mahesh K. Shetty MD, FRCR

引用次数: 0

Abstract

Post-menopausal bleeding (PMB) accounts for 5% of gynecologic office visits and is the presenting symptom in 90% of women with endometrial cancer, which requires prompt evaluation. The most common etiology of PMB is vaginal or endometrial atrophy and endometrial polyps, while endometrial hyperplasia and carcinoma account for less than 10% of PMB. Transvaginal ultrasonography measurement of an endometrial thickness (EMT) less than or equal to 4 mm has a 99% negative predictive value for endometrial carcinoma. Endometrial sampling is required if EMT >4 mm or persistent bleeding occurs. Further evaluation can be accomplished with saline infusion sonography, magnetic resonance imaging, and hysteroscopy.

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绝经后出血：影像学的作用。

绝经后出血（PMB）占妇科就诊的5%，是90%的子宫内膜癌症患者的主要症状，需要及时评估。PMB最常见的病因是阴道或子宫内膜萎缩和子宫内膜息肉，而子宫内膜增生和癌症占PMB的比例不到10%。经阴道超声（TVUS）测量子宫内膜厚度（EMT）小于或等于4mm对子宫内膜癌的预测值为99%。如果EMT>4mm或持续出血，则需要进行子宫内膜取样。进一步的评估可以通过生理盐水灌注超声（SIS）、MRI和宫腔镜检查来完成。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Ultrasound Ct and Mri 医学-核医学

CiteScore

2.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Seminars in Ultrasound, CT and MRI is directed to all physicians involved in the performance and interpretation of ultrasound, computed tomography, and magnetic resonance imaging procedures. It is a timely source for the publication of new concepts and research findings directly applicable to day-to-day clinical practice. The articles describe the performance of various procedures together with the authors'' approach to problems of interpretation.