El Agwany Ahmed Samy
Department of Obstetrics and Gynecology Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Indian J Surg Oncol. 2019 Dec;10(4):679-684. doi: 10.1007/s13193-019-00976-9. Epub 2019 Aug 23.
The aim of the work is to determine the Suspicious sonographic findings associated with endometrial hyperplasia or cancer in premenopausal and perimenopausal women requiring uterine curettage other than endometrial thickness. Transvaginal ultrasonography examinations of premenopausal and perimenopausal women were reported here. These women underwent endometrial biopsy based on abnormal uterine bleeding or discharge and sonographic endometrial abnormalities. Histologically, hyperplasia was found in PCOS patients, endometrial cancer on top of tamoxifen therapy was found in others. The highly related ultrasound criteria are thick irregular endometrium, ill-defined endometrial myometrial junction, myometrial invasion with pseudowidening of the endometrium, turbid intrauterine fluid collection, associated complex adnexal masses, and cystic areas in the endometrium. Endometrial stripe abnormality by transvaginal ultrasonography is considered to be important in the recommendation of endometrial biopsy to exclude cancer along with positive complains in addition to thickness abnormalities.
这项工作的目的是确定除子宫内膜厚度外，在需要进行子宫刮宫术的绝经前和围绝经期妇女中，与子宫内膜增生或癌症相关的可疑超声检查结果。本文报告了对绝经前和围绝经期妇女进行的经阴道超声检查。这些妇女因子宫异常出血或分泌物以及超声检查发现的子宫内膜异常而接受了子宫内膜活检。组织学检查发现，多囊卵巢综合征患者存在增生，其他患者在他莫昔芬治疗基础上发生了子宫内膜癌。高度相关的超声标准包括子宫内膜增厚不规则、子宫内膜与肌层交界处边界不清、伴有子宫内膜假性增宽的肌层浸润、宫腔内液性暗区、相关的附件区复杂包块以及子宫内膜内的囊性区域。经阴道超声检查发现的子宫内膜条带异常，除了厚度异常外，在伴有阳性症状时，对于推荐进行子宫内膜活检以排除癌症被认为是很重要的。
