Title: Comparative study of Endometrial Thickness with Histopathological pattern of Endmetrium in Postmenopausal Bleeding
Authors: Dr Shailesh Kumar Pankaj, Dr (Prof.) Lata Shukla Dwivedy, Dr Om Prakash Dwivedy
Aims & Objective: The aim of the present study was to study endometrial thickness by transvaginal-sonography and correlate it with the Histopathological pattern in case of Post menopausal bleeding.
Material & Methods: The present prospective cohort study was conduct in the Dept of Obst & Gynae& Pathology of Nalanda Medical College & Hospital, Patna from July 2015 to June 2017.
Results: Out of 120 patients, majority 46 (38.33) had atrophic endometrium, endometrial hyperplasia in 28 (23.66%) out of which 22 had simple hyperplasia and 6 had atypical hyperplasia, endometrial polyp in 4 (3.33%) and two cases was confirmed as endometrial carcinoma on Histopathological examination. Majority of patients (40%) had ET <4mm. and 12 patient had ET >10mm.
In Patient with normal and atrophic histopathology, majority had ET <4 mm and those with hyperplasia had ET>4 and with polyp ET>6mm. No case of polyp and endometrial cancer was diagnosed at ET <6mm.
Conclusion: Role of endometrial thickness cannot be ignored for detecting patients at high risk especially with co-morbid conditions. Histopathological evaluation is mandatory for ruling out malignancy is selected cases of post menopausal bleeding (PMB).
Keywords: Postmenopausal bleeding (PMB), TVS (Transvaginalsonography), ET (Endometrial thickness), Histopathological pattern of endometrium.