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  1. Endovaginal ultrasound to exclude endometrial cancer and other endometrial abnormalities.

    Article - En anglais

    Context. - Postmenopausal vaginal bleeding is a common clinical problem.

    Endovaginal ultrasound (EVUS) is a noninvasive diagnostic test that may help determine which women should undergo endometrial biopsy.


    - To determine the accuracy of EVUS in detecting endometrial disease in postmenopausal women with vaginal bleeding according to hormone replacement use.

    Data Sources

    - Literature search of English-language and non-English-language articles published from 1966 through November 1996 using MEDLINE and by a manual search of bibliographies of published articles.

    Study Selection

    - Studies were included if they prospectively collected EVUS measurements of endometrial thickness prior to obtaining endometrial tissue for histologic evaluation in postmenopausal women with vaginal bleeding.

    Of 85 studies that included data on EVUS and endometrial histology, 35 were included in the meta-analysis and included 5892 women.

    Data Extraction

    - Articles were reviewed and independently selected and abstracted by 2 reviewers.

    Disagreement was resolved by consensus.

    Data Synthesis

    - The overall summary mean weighted estimates of sensitivity and specificity were calculated for thresholds of endometrial thickness from 3 to 10) mm. (...)

    Mots-clés Pascal : Endométriose, Carcinome, Postménopause, Imagerie ultrasonore, Laparoscopie, Voie vaginale, Dépistage, Article synthèse, Diagnostic différentiel, Efficacité, Femelle, Homme, Biopsie, Etats Unis, Amérique du Nord, Amérique, Appareil génital femelle pathologie, Utérus pathologie, Radiodiagnostic, Imagerie médicale, Endoscopie, Voie abord, Traitement instrumental

    Mots-clés Pascal anglais : Endometriosis, Carcinoma, Postmenopause, Ultrasound imaging, Laparoscopy, Vaginal route, Medical screening, Review, Differential diagnostic, Efficiency, Female, Human, Biopsy, United States, North America, America, Female genital diseases, Uterine diseases, Radiodiagnosis, Medical imagery, Endoscopy, Surgical approach, Instrumentation therapy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0526303

    Code Inist : 002B24C06. Création : 23/03/1999.