Abstract:

Aim: Postmenopausal bleeding is the most common symptom of endometrial cancer. Transvaginal ultrasound is considered as the first step in the evaluation of patients with postmenopausal bleeding. In this study, we aimed to evaluate the transvaginal ultrasonography and histopathological results of patients who underwent endometrial biopsy for postmenopausal bleeding. Materials and Methods: Forty patients who underwent endometrial biopsy due to postmenopausal bleeding were included in the study. Transvaginal ultrasonography findings and endometrial biopsy results of the patients were compared. Results: While cancer was detected in 7.5% of the patients, the most common ones were endometrial polyp (25%), atrophic endometrium (25%) and insufficient material (22.5%). Endometrial polyp was significantly higher in patients whose endometrial thickness was measured> 5 mm by TVUSG (p = 0.003), while insufficient material was significantly higher in the patient group with endometrial thickness ≤5 mm (p = 0.018). If the endometrial double wall thickness limit measured in TVUSG is taken as above 5 mm, the sensitivity for endometrial cancer was found to be 100%, specificity 43.2%, negative predictive value 100%, and positive predictive value 12.5%. Conclusion: TVUSG guides in the evaluation of patients with postmenopausal bleeding. However, the importance of endometrial sampling should not be forgotten to exclude endometrial cancer.

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