지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Objectives: To uncover gynecologic conditions with similar transvaginal sonographic findings of thick uterine endometrium with honeycomb appearance in pre-and postmenopausal women. Methods: We retrospectively reviewed cases of patients with endometrial tissue biopsy from January 2010 to December 2016. We also collected office flexible hysteroscopic findings and surgical pathologic results. We analyzed data from 393 patients with confirmed endometrial pathology. Among these patients, 69 had transvaginal ultrasonographic images with thick uterine endometrium and honeycomb or “Swiss cheese” appearance. Results: We found gynecologic conditions such as submucosal leiomyoma with degeneration, endometrial polyp, pseudocystic endometrial change associated with tamoxifen use, progesterone associated endometrial change, pyometra, retained placenta, and uterine synechiae manifested with similar thick endometrium with “Swiss cheese” appearance in transvaginal sonographic images. The most common diagnosis in postmenopausal women was atrophic endometritis, followed by endometrial cancer and endometrial polyps. The most common diagnosis in premenopausal women was abnormal uterine bleeding without pathologic conditions. Conclusions: Sonographic findings of thick uterine endometrium with “Swiss cheese” appearance need to be considered together with a thorough review of the patient’s history and chief complaint before making a tentative diagnosis due to the various conditions sharing the feature.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
American Institute of Ultrasound in Medicine (AIUM) / 2014 / AIUM practice guideline for the performance of ultrasound of the female pelvis / J Ultrasound Med 33:1122~1130
Norton ME / 2017 / Callen's ultrasonography in obstetrics and gynecology / Elsevier :839
American College of Obstetricians and Gynecologists / 2009 / ACOG Committee Opinion No. 426: the role of transvaginal ultrasonography in the evaluation of postmenopausal bleeding / Obstet Gynecol 113(2 Pt 1):462~464
Doubilet PM / 2001 / Society of Radiologists in Ultrasound Consensus Conference statement on postmenopausal bleeding / J Ultrasound Med 20:1037~1042
Smith-Bindman R / 2004 / How thick is too thick? When endometrial thickness should prompt biopsy in postmenopausal women without vaginal bleeding / Ultrasound Obstet Gynecol 24:558~565
Norton ME / 2017 / Callen's ultrasonography in obstetrics and gynecology / Elsevier :839
American College of Obstetricians and Gynecologists / 2009 / ACOG Committee Opinion No. 426: the role of transvaginal ultrasonography in the evaluation of postmenopausal bleeding / Obstet Gynecol 113(2 Pt 1):462~464
Doubilet PM / 2001 / Society of Radiologists in Ultrasound Consensus Conference statement on postmenopausal bleeding / J Ultrasound Med 20:1037~1042
Smith-Bindman R / 2004 / How thick is too thick? When endometrial thickness should prompt biopsy in postmenopausal women without vaginal bleeding / Ultrasound Obstet Gynecol 24:558~565
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