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Re: liability of US Endometrial ThicknessFrom: Carlos Rubio (crubiol@meditex.es)Tue Mar 21 14:22:53 2000
I had two postmenopausal patients with similar findings, both c/o bloodish vaginal discharge. Endometrial thickness was 7 and 9 mm respectively. Both had power doppler on endometrium with poor vascularity. Both had histeroscopy and curettage. Both were atrofic endometrium. ( and atrofic vaginitis). Both had treatments postop with oestrogen cream and both had stopped the bleeding discharge. After looking carefully again and again to the endometrial scan pictures I still cant find any differences from other abnormal thicken endometrium (except for abnormal increased vascularity on power doppler applied to the endometrium-miometrium union)which applied to endometrial malignant lesions (this is a test I am doing as a research). So I think the lesson to learn is Histeroscopy and D&C to all postmenopausal bleeding with increased endometrial thickness (more than 5 mm). Sorry for my English
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