Ultrasonic presentation variation of patients with pathological evidence of endometrial atrophy
Objective: Post-menopausal bleeding is one of the most common reasons for attending the gynecology outpatient clinic. The major proportion of the symptoms is endometrial atrophy (about 60%) despite of the endometrial thickness is over 4 mm. Therefore, the aim of this study is to evaluate the endomet...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455923001870 |
| _version_ | 1797690902800498688 |
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| author | Wen-Hsuan Lin Chih-Long Chang |
| author_facet | Wen-Hsuan Lin Chih-Long Chang |
| author_sort | Wen-Hsuan Lin |
| collection | DOAJ |
| description | Objective: Post-menopausal bleeding is one of the most common reasons for attending the gynecology outpatient clinic. The major proportion of the symptoms is endometrial atrophy (about 60%) despite of the endometrial thickness is over 4 mm. Therefore, the aim of this study is to evaluate the endometrial thickness under sonogram in the women with atrophic endometrium, with or without post-menopausal vaginal bleeding. Materials and methods: This is a retrospective study and we enrolled 237 post-menopausal women with pathological evidence of atrophic endometrium from Jan. 2014 to Dec. 2018 in Mackay Memorial hospital. Patient's characteristics taken into account were age, vaginal bleeding status, the methods of obtaining endometrial tissue, hormonal replacement therapy and breast cancer history under tamoxifen treatment. Endometrial thickness was classified as ≤ 4 mm, >4 mm–10 mm and >10 mm. We calculated the proportion of the characteristic mentioned before. Results: In total, 237 patients were enrolled and 35 patients were excluded; therefore, the remaining 202 patients were analyzed. There were 42 (20.8%), 109 (54%) and 51 (25.2%) patients with endometrial thickness ≤4 mm, >4 mm–10 mm and >10 mm respectively. There was significant difference in the numbers of patients with post-menopausal bleeding (p = 0.002) and breast cancer history under tamoxifen therapy (p < 0.05) among the three groups. Conclusion: In the patients with endometrial atrophy, the endometrial thickness may be variable. There were only 20.8% of patients with endometrial thickness less than 4 mm in our study. Before endometrial sampling, comprehensive evaluation of the morphology of endometrium under image study, the patient's symptoms and medical history is important. |
| first_indexed | 2024-03-12T02:06:46Z |
| format | Article |
| id | doaj.art-0f9f54b34e134010a9f4064cfa228c73 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-03-12T02:06:46Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-0f9f54b34e134010a9f4064cfa228c732023-09-07T04:43:04ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592023-09-01625719723Ultrasonic presentation variation of patients with pathological evidence of endometrial atrophyWen-Hsuan Lin0Chih-Long Chang1Department of Obstetric & Gynecology, MacKay Memorial Hospital, Taipei, TaiwanCorresponding author. Department of Obstetrics and Gynecology, Mackay Memorial Hospital, 30 No. 92, section II, Chung-Shan North Road, Taipei City, Taiwan. Fax: +886 25433642.; Department of Obstetric & Gynecology, MacKay Memorial Hospital, Taipei, TaiwanObjective: Post-menopausal bleeding is one of the most common reasons for attending the gynecology outpatient clinic. The major proportion of the symptoms is endometrial atrophy (about 60%) despite of the endometrial thickness is over 4 mm. Therefore, the aim of this study is to evaluate the endometrial thickness under sonogram in the women with atrophic endometrium, with or without post-menopausal vaginal bleeding. Materials and methods: This is a retrospective study and we enrolled 237 post-menopausal women with pathological evidence of atrophic endometrium from Jan. 2014 to Dec. 2018 in Mackay Memorial hospital. Patient's characteristics taken into account were age, vaginal bleeding status, the methods of obtaining endometrial tissue, hormonal replacement therapy and breast cancer history under tamoxifen treatment. Endometrial thickness was classified as ≤ 4 mm, >4 mm–10 mm and >10 mm. We calculated the proportion of the characteristic mentioned before. Results: In total, 237 patients were enrolled and 35 patients were excluded; therefore, the remaining 202 patients were analyzed. There were 42 (20.8%), 109 (54%) and 51 (25.2%) patients with endometrial thickness ≤4 mm, >4 mm–10 mm and >10 mm respectively. There was significant difference in the numbers of patients with post-menopausal bleeding (p = 0.002) and breast cancer history under tamoxifen therapy (p < 0.05) among the three groups. Conclusion: In the patients with endometrial atrophy, the endometrial thickness may be variable. There were only 20.8% of patients with endometrial thickness less than 4 mm in our study. Before endometrial sampling, comprehensive evaluation of the morphology of endometrium under image study, the patient's symptoms and medical history is important.http://www.sciencedirect.com/science/article/pii/S1028455923001870EndometriumAtrophyUltrasound |
| spellingShingle | Wen-Hsuan Lin Chih-Long Chang Ultrasonic presentation variation of patients with pathological evidence of endometrial atrophy Taiwanese Journal of Obstetrics & Gynecology Endometrium Atrophy Ultrasound |
| title | Ultrasonic presentation variation of patients with pathological evidence of endometrial atrophy |
| title_full | Ultrasonic presentation variation of patients with pathological evidence of endometrial atrophy |
| title_fullStr | Ultrasonic presentation variation of patients with pathological evidence of endometrial atrophy |
| title_full_unstemmed | Ultrasonic presentation variation of patients with pathological evidence of endometrial atrophy |
| title_short | Ultrasonic presentation variation of patients with pathological evidence of endometrial atrophy |
| title_sort | ultrasonic presentation variation of patients with pathological evidence of endometrial atrophy |
| topic | Endometrium Atrophy Ultrasound |
| url | http://www.sciencedirect.com/science/article/pii/S1028455923001870 |
| work_keys_str_mv | AT wenhsuanlin ultrasonicpresentationvariationofpatientswithpathologicalevidenceofendometrialatrophy AT chihlongchang ultrasonicpresentationvariationofpatientswithpathologicalevidenceofendometrialatrophy |