Accuracy of endometrial volume by 3 D ultrasound in prediction of endometrial carcinoma in patients with perimenopausal bleeding

This is the authors' abstract. We don't add key points for this paper.

Introduction: The most commonly used technique for detecting endometrial disease in women with AUB is 2D and 3D transvaginal ultrasound. The aim of the work: is to measure endometrial thickness, volume, RI and PI in women with peri-postmenopausal bleeding and correlate it with histopathological results to discriminate between benign and malignant endometrial lesions. Patients and methods: This study is a controlled clinical trial that was conducted in El-Minia University Maternity Hospital, Egypt. Cases were collected from the outpatient clinic and inpatient gynecological department and 132 pre-&postmenopausal women were included in this study. All cases presented by AUB. The study was conducted between August 2017 and August 2019.The study was approved by the hospital ethical committee. The aim of this work is to measure endometrialthickness, volume ,RI and PI in women with peri-postmenopausal bleeding and correlate it with histopathological results to discriminate between benign and malignant endometrial lesions. Results:In our study by comparing the AUCs of ET is 0.859 ,EV is 0.875 , PI is 0.902 and RI is 0.930, the best variable to predict malignancy is RI followed by PI followed by EV and lastly ET. Conclusion:3D ultrasonography and Doppler, especially RI, may be useful for discrimination between benign and malignant endometrium in women with AUB.