Endometrial Carcinoma: Diagnostic Accuracy of Color Doppler Ultrasound in Diagnosis
Hassan Bukhari, Nadia Khattak, Muhammad Nauman Akram, Hafeez Ur Rehman, Ayesha Kamran, Abbas Ahmad
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ABSTRACT
Aim: The objective of this research was to observe the
diagnostic accuracy of color Doppler ultrasound for diagnosing endometrial Ca
(carcinoma) in PMB women.
Study Design: Cross-sectional Study
Place and Duration: Radiology Department of Hayatabad
Medical Complex, Peshawar for duration from December 2020 till May 2021
Method: One hundred and sixty patients with abnormal
vaginal bleeding (postmenopausal bleeding) were included. Patient’s ages were
ranging between 45 to 75 years. After taking complete consent, patients
detailed history age, gender, socio-economic status and previous hospital
visited record was recorded. ET (endometrial thickness), UARI (uterine artery
resistive index) and results of DUS (Doppler ultrasound) were noted. Patients
marked endometrial Ca whom ET was >5mm and UARI was <0.7. Histopathology
results as a gold standard were also noted. The results of DUS (Doppler
ultrasound) were demonstrated with histopathology record.
Results: Mean age of patients was 62.36±8.44 years.
Mean BMI was 28.24±2.38 kg/m2. Endometrial carcinoma was found in
129 (80.63%) patients by Doppler ultrasound while histopathological findings
revealed that 125 (78.13%) patients had endometrial carcinoma. The sensitivity,
specificity, PPV, NPV and diagnostic accuracy of DUS were recorded as 96.80%,
77.14%, 93.80%, 87.10% and 92.50% respectively.
Conclusion: Doppler ultrasound is very useful diagnostic
modality for diagnosing endometrial carcinoma in patients having
post-menopausal bleeding.
Keywords: Postmenopausal Bleeding, Endometrial Carcinoma,
Doppler ultrasound, Endometrial Thickness, Uterine Artery Resistive Index
ABSTRACT
Aim: The objective of this research was to observe the
diagnostic accuracy of color Doppler ultrasound for diagnosing endometrial Ca
(carcinoma) in PMB women.
Study Design: Cross-sectional Study
Place and Duration: Radiology Department of Hayatabad
Medical Complex, Peshawar for duration from December 2020 till May 2021
Method: One hundred and sixty patients with abnormal
vaginal bleeding (postmenopausal bleeding) were included. Patient’s ages were
ranging between 45 to 75 years. After taking complete consent, patients
detailed history age, gender, socio-economic status and previous hospital
visited record was recorded. ET (endometrial thickness), UARI (uterine artery
resistive index) and results of DUS (Doppler ultrasound) were noted. Patients
marked endometrial Ca whom ET was >5mm and UARI was <0.7. Histopathology
results as a gold standard were also noted. The results of DUS (Doppler
ultrasound) were demonstrated with histopathology record.
Results: Mean age of patients was 62.36±8.44 years.
Mean BMI was 28.24±2.38 kg/m2. Endometrial carcinoma was found in
129 (80.63%) patients by Doppler ultrasound while histopathological findings
revealed that 125 (78.13%) patients had endometrial carcinoma. The sensitivity,
specificity, PPV, NPV and diagnostic accuracy of DUS were recorded as 96.80%,
77.14%, 93.80%, 87.10% and 92.50% respectively.
Conclusion: Doppler ultrasound is very useful diagnostic
modality for diagnosing endometrial carcinoma in patients having
post-menopausal bleeding.
Keywords: Postmenopausal Bleeding, Endometrial Carcinoma,
Doppler ultrasound, Endometrial Thickness, Uterine Artery Resistive Index