Correlação ultrassonográfica e histeroscópica no diagnóstico de pólipos endometriais em mulheres na pós-menopausa
Carregando...
Data
2010-02-24
Autores
Borges, Pítia Cárita de Godoy [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Estadual Paulista (Unesp)
Resumo
Para o diagnóstico de pólipo endometrial, dispõe-se da ultrassonografia e da histeroscopia ambulatorial, sendo a última considerada padrão ouro. A ultrassonografia avalia a espessura do endométrio, sua alteração de ecogenicidade e seus limites. Os resultados de tal exame pode sugerir a doença. A histeroscopia ambulatorial, por sua vez, é um exame mais preciso, pois permite uma melhor identificação do pólipo endometrial. Além disso, ela permite a confirmação do diagnóstico através da biópsia, assim como o tratamento. Comparar a ultrassonografia e a histeroscopia ambulatorial como métodos propedêuticos dos pólipos endometriais nas mulheres menopausadas do Serviço de Endoscopia Ginecológica e Planejamento Familiar da Disciplina de Ginecologia do Departamento de Ginecologia e Obstetrícia da Faculdade de Medicina de Botucatu–Hospital das Clínicas (UNESP). Estudo analítico e retrospectivo cujos dados foram obtidos através de consultas a 323 prontuários de mulheres menopausadas submetidas a ultrassonografia e a histeroscopia ambulatorial no referido setor, no período de março de 2003 a março de 2009. Foram incluídas no estudo 281 mulheres menopausadas na faixa etária de 41 a 82 anos, que haviam sido submetidas à histeroscopia ambulatorial por apresentarem sangramento uterino e/ou ultrassonografia transvaginal alterada (EE≥5 mm), e que, por esses motivos, foram encaminhadas ao ambulatório. A idade média das pacientes foi de 61,3 anos, sendo que 27,6% apresentaram diabetes mellitus tipo II, 70,5% eram hipertensas, 5,7% eram tabagistas. A média do índice de massa corpórea (IMC) foi de 31,6 kg/m2, e 73% eram multíparas (com 3 ou mais partos). A média do tempo de menopausa (amenorreia) foi de 10,7anos, sendo que 15,3% das pacientes eram usuárias de terapia hormonal, e 6,8% estavam em tratamento de câncer de mama com tamoxifeno. Do total de pacientes, 38,1%...
Ultrasonography and outpatient hysteroscopy are considered the “golden standard” for the diagnostic of endometrial polyp. Ultrasonography evaluates the endometrial thickness, the echogenicity and the limits. Its results can suggest the pathology. Outpatient hysteroscopy, on the other hand, is a more accurate exam, providing a better identification of the endometrial polyp and confirming the diagnostic through histological examination. It also may be used as a treatment. Comparison of the ultrasonography with the outpatient hysteroscopy as diagnostic methods for endometrial polyps in postmenopausal women from the Endoscopic and Gynecologic Service of the Medical School of Botucatu – UNESP. Analytical and retrospective study based on the files of 323 postmenopausal women submitted to ultrasonography and to outpatient hysteroscopy from March 2003 to March 2009, wich were performed in the Gynecologic and Obstetric Department of the Medical School of Botucatu (UNESP) – Gynecology Discipline of Botucatu Medical School. In this study, 281 postmenopausal women, with ages between 41 and 82 years, and that had been submitted to outpatient diagnostic hysteroscopy, were included. They had uterine bleeding and/or altered transvaginal ultrasound (EE≥5 mm). Patients mean age was 61,3 years; 27,6% had diabetes mellitus II; 70,5% had systemic arterial hypertension; and 5,7% were smokers. IMC was 31,6 kg/m2, and 73% were multiparae (3 or more deliveries). Average menopause time (amnorrhea) was 10,7 years; 15,3% were under hormonal therapy; and 6,8% were under breast cancer treatment with taximofen. From the 323 patients, 38,1% had uterine bleeding and 61,9% were asymptomatic. Ultrasonography detected endometrial polyp in 22,8% of the patients, endometrial thickness in 59,8%, being 10,5mm the mean thickeness. Comparing the ultrasonography with the histopathology, it was observed that endometrial... (Complete abstract click electronic access below)
Ultrasonography and outpatient hysteroscopy are considered the “golden standard” for the diagnostic of endometrial polyp. Ultrasonography evaluates the endometrial thickness, the echogenicity and the limits. Its results can suggest the pathology. Outpatient hysteroscopy, on the other hand, is a more accurate exam, providing a better identification of the endometrial polyp and confirming the diagnostic through histological examination. It also may be used as a treatment. Comparison of the ultrasonography with the outpatient hysteroscopy as diagnostic methods for endometrial polyps in postmenopausal women from the Endoscopic and Gynecologic Service of the Medical School of Botucatu – UNESP. Analytical and retrospective study based on the files of 323 postmenopausal women submitted to ultrasonography and to outpatient hysteroscopy from March 2003 to March 2009, wich were performed in the Gynecologic and Obstetric Department of the Medical School of Botucatu (UNESP) – Gynecology Discipline of Botucatu Medical School. In this study, 281 postmenopausal women, with ages between 41 and 82 years, and that had been submitted to outpatient diagnostic hysteroscopy, were included. They had uterine bleeding and/or altered transvaginal ultrasound (EE≥5 mm). Patients mean age was 61,3 years; 27,6% had diabetes mellitus II; 70,5% had systemic arterial hypertension; and 5,7% were smokers. IMC was 31,6 kg/m2, and 73% were multiparae (3 or more deliveries). Average menopause time (amnorrhea) was 10,7 years; 15,3% were under hormonal therapy; and 6,8% were under breast cancer treatment with taximofen. From the 323 patients, 38,1% had uterine bleeding and 61,9% were asymptomatic. Ultrasonography detected endometrial polyp in 22,8% of the patients, endometrial thickness in 59,8%, being 10,5mm the mean thickeness. Comparing the ultrasonography with the histopathology, it was observed that endometrial... (Complete abstract click electronic access below)
Descrição
Palavras-chave
Menopausa, Endometrio - Doenças - Diagnóstico, Menopause
Como citar
BORGES, Pítia Cárita de Godoy. Correlação ultrassonográfica e histeroscópica no diagnóstico de pólipos endometriais em mulheres na pós-menopausa. 2010. 119 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, 2010.