Zeynep Kamil Med J. 2012; 43(3): 10-15

Asemptomatik Postmenopozal Kadýnlarda Transvajinal Patolojileri Deðerlendirmedeki Yeri

Ayþe Nurcan Ünlüer¹, Remzi Abalý², Mehmet Aytaç Yüksel¹, Ilkbal Temel¹, Cem Çelik², Ahmet Birtan Boran¹, Serpil Bozkurt^3
1Istanbul Education and Research Hospital, Ministry of Health, Obstetrics and Gynecology, Istanbul, Turkey
²Namýk Kemal University Department of Obstetrics and Gynecology, Tekirdað,
³Maltepe University Department of Obstetrics and Gynecology, Istanbul,

INTRODUCTION: We aimed to analyze the effectiveness of endometrial thickness evaluation by transvaginal ultrasonography in endometrial cancer diagnosis, and the relation between endometrial cancer risks and thickness.
METHODS: We investigated postmenopausal women who vizited our menopause clinic in between June 2008 and August 2009
RESULTS: We performed endometrial sampling to 54 patients whose endometrial thickness were over 5 mm. After histopathological examination
we found 1 patient had atypic endometrial hyperplasia, 14 patient had endometrial polyps, 7 patients had findings of endometrial proliferation and 32 patients had normal histological findings. Postmenopausal patients having endometrial thickness over 5 mm were found to have statistically higher incedence of diabetes and hypertension with increased body mass index. Endometrial thickness were found statistically thinner in patients who smoke and had previous hormonal treatment.
DISCUSSION AND CONCLUSION: Although routine transvaginal ultrasound examination in asymptomatic postmenopausal women were not found as significant in
screening of cancer, it can help in prediction and definition of risk group as an noninvasive method.

Keywords: Endometrial thickness, transvaginal ultrasonograhy, postmenopausal women

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