Sonohysterography compared with endometrial biopsy for evaluation of the endometrium in XXXX -treated @entity1 .

@entity1 @entity440 @entity548 @entity1127 @entity1373 @entity1478
OBJECTIVE: This study was performed to compare endometrial biopsy and sonohysterography for evaluation of the endometrium in @entity440 -treated @entity1 . METHODS: Medical records were retrospectively reviewed to identify 51 consecutive @entity440 -treated @entity1 who had sonohysterography and correlative endometrial biopsy for evaluation of @entity548 or thickened endometrium of greater than 8 mm. Endometrial biopsy and sonohysterographic results were compared in all @entity1 , and for 27 (53%) @entity1 who had hysteroscopy with dilation and curettage, endometrial biopsy and sonohysterographic findings also were compared with surgical pathologic findings. RESULTS: Thirty-two (63%) of 51 sonohysterograms revealed @entity1478 (8%) showed endometrium of greater than 5 mm; 14 (27%) showed endometrium of less than 5 mm; and 1 (2%) was inadequate. Endometrial biopsy findings were benign endometrium in 42 (82%), @entity1127 in 4 (8%), and insufficient samples in 5 (10%). Among the adequate sonohysterograms, 64% (32 of 50) resulted in a diagnosis of @entity1127 (95% confidence interval, 49%-77%) whereas the corresponding proportion for endometrial biopsy was 9% (4 of 46; 95% confidence interval, 2%-21%). For the group with hysteroscopy, 24 (92%) of 26 @entity1127 were confirmed histopathologically; 1 @entity1127 had @entity1373 . @entity1127 were present in 23 (89%) of 26 @entity1 with benign endometrium or insufficient samples by endometrial biopsy, and only 1 confirmed @entity1127 was identified by endometrial biopsy. The sensitivity of sonohysterography for diagnosis of @entity1478 (100%) was significantly higher than for endometrial biopsy (4%; P < .01). CONCLUSIONS: In @entity440 -treated @entity1 , sonohysterography provides a significant improvement in sensitivity for diagnosis of @entity1478 compared with endometrial biopsy.
