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- W1559514801 abstract "Investigate the possibility of reducing the number of invasive procedures (hysteroscopy, biopsy / endometrial curettage), with previous performance of sonohysterography in patients with clinical and/or ultrasound suspicion of endometrial pathology. Retrospective study involving 487 postmenopausal patients, undergoing sonohysterography for suspected ultrasound: endometrial thickening(≥ 4mm) and/or cases of endometrium not correctly visualized with subsequent hysteroscopy when there was confirmation of abnormal findings. Statistical analysis SPSS® V19. The 487 patients included in the study had a mean age at admission of 61.3 years (39–87) and only 78 (16%) complaints of postmenopausal metrorrhagia. The final diagnoses were: atrophic endometrium 46% (includes endometrial calcifications and synechia), endometrial polyps 44%, submucosal myoma 7.4%, simple endometrial hyperplasia without atypia1.2%, adenocarcinoma 0.8% and uterine septum 0.6%. The endometrial cancer, in relative proportions, was more frequent in the symptomatic group (2.6 vs 0.49%) and endometrial hyperplasia only diagnosed in asymptomatic patients (1.5%). In over than half of the included patients, it was not justified invasive endometrial study. The diagnostic evaluation should be individualized and take in account the complaints, risk factors and ultrasound data (vascularization and intracavitary fluid collections), since it is not negligible the associated risks and costs. Supporting information for P02.04, P02.09, P02.14, P03.01, P03.02, P03.03,P03.05, P03.09, P05.02, P05.03, P05.06, P05.15, P05.16, P06.05, P06.12, P06.13, P07.01, P07.03, P07.04, P07.05, P07.12, P08.04, P08.16, P10.05, P10.07, P10.10, P11.01, P11.04, P11.05, P11.06, P11.09, P11.10, P11.12, P11.16, P12.01, P12.02, P12.03, P12.05, P12.08, P13.03, P14.08, P14.14, P14.17, P14.18, P15.03, P16.07, P16.08, P17.03 and P20.01 can be found in the online version of these abstracts." @default.
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- W1559514801 date "2013-10-01" @default.
- W1559514801 modified "2023-09-25" @default.
- W1559514801 title "P20.04: Endometrial assessment in postmenopausal women: can we decrease the number of invasive procedures?" @default.
- W1559514801 doi "https://doi.org/10.1002/uog.13145" @default.
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