Karadağ, Cihan and Öğütçüoğlu, Bilge and İnan, Cihan and Dolgun, Zehra Nihal and Yoldemir, Ahmet Tevfik and Aslanova, Lale (1969) DIAGNOSTIC UTILITY OF SALINE INFUSION DOPPLER SONOHYSTEROGRAPHY IN ENDOMETRIAL MASS LESIONS. Pakistan Journal of Medical Sciences, 32 (2). ISSN 1681-715X

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Objective: To evaluate the importance of saline infusion Doppler sonohysterography (SIS-D) in the assessment of transvaginal ultrasound (TVUSG)-suspected intrauterine mass lesions in women complaining about abnormal uterine bleeding with respect to hysteroscopy (H/S) and pathologic diagnosis.

Methods: This study was conducted on patients, who visited to our clinic with abnormal uterine bleeding and whose TVUSGs indicated intrauterine masses. The study covered a total of 100 patients. SIS-D and hysteroscopy were performed on those 100 patients. SIS-D results were compared with hysteroscopy results. The relation between SIS-D findings and pathology results were evaluated.

Results: For SIS; specificity was 96%, sensitivity was 60%, positive predictive value (PPV) was 87.8%, negative predictive value (NPV) was 83.3%, and the accuracy rate was 87%. For TVUSG; PPV was 75%. According to SIS-D, 92.2% of the lesions that had single-vessel feeding patterns were endometrial polyps, and this was statistically significant (p<0.0001). 57.1% of the lesions that had multiple-vessel feeding patterns were submucous myomas, and this was statistically significant (p<0.0001).

Conclusion: SIS should be performed in patients before hysteroscopy because it will protect a considerable number of patients from unnecessary invasive procedures. SIS-D gives an idea on the histopathology of the mass.

Item Type: Article
Subjects: OA Open Library > Medical Science
Depositing User: Unnamed user with email support@oaopenlibrary.com
Date Deposited: 01 May 2023 06:35
Last Modified: 05 Feb 2024 04:36
URI: http://archive.sdpublishers.com/id/eprint/634

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