eISSN: 1897-4309
ISSN: 1428-2526
Contemporary Oncology/Współczesna Onkologia
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SCImago Journal & Country Rank
1/2019
vol. 23
 
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abstract:
Original paper

The thin red line – postmenopausal abnormal uterine bleeding with endometrial thickness less than 4 mm

Magdalena Piróg, Olga Kacalska-Janssen, Tomasz Bereza, Robert Jach

Contemp Oncol (Pozn) 2019; 23 (1): 43-46
Online publish date: 2019/04/05
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Aim of the study
To evaluate the risk of endometrial malignancy in postmenopausal women with abnormal uterine bleeding (AUB) with endometrial thickness ≤ 4 mm.

Material and methods
Histological assessment of endometrial samples obtained via hysteroscopy or curettage was performed in 57 women.

Results
Women with premalignancy or malignancy (24.6%) had higher endometrial thickness (by 9.7%, p = 0.01) compared to women with benign condition. Out of 12 women with atypical hyperplasia (21.1%), 5 women (8.8%) were diagnosed with simple and 7 women (12.3%) had complex hyperplasia, whereas 2 (3.5%) were diagnosed with malignancy.

Conclusions
Postmenopausal women with AUB and endometrial echo ≤ 4 mm are less likely to have a malignant condition. However, the role of histological evaluation cannot be undermined, especially in women at high risk of endometrial cancer, and routine endometrial biopsy should be considered. We recommend a change in the cut-off to 2 mm in routine practice.

keywords:

endometrial thickness, endometrial cancer, postmenopausal bleeding, abnormal uterine bleeding

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