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Improved Endometrial Disease Diagnosis Possible With Ultrasound-guided Biopsy

by Tanya on April 15, 2009 at 5:35 PM Women Health News

The visualization and diagnosis of diseases of the endometrium (the lining of the uterus) can be made easier by using a certain novel procedure in conjunction with vaginal ultrasounds; say experts at UT Southwestern Medical Center.

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The doctors involved in their study women who were in the midst of or had gone through menopause and who complained of abnormal bleeding.

Abnormal bleeding can indicate certain diseases of the endometrium, a cavity that lines the inside of the uterus, which may or may not be malignant.

The current standard of care is to blindly biopsy the endometrium, but the biopsy may not always sample the part of the cavity that is diseased.

The researchers have found that using saline-infusion sonography (SIS), or ultrasound, allows doctors to actually see where in the endometrium a polyp or growth exists and to biopsy it accordingly.

"Saline infusion sonography augments the usual transvaginal sonogram and lets us see what is inside the endometrium. Normally, the endometrial cavity is collapsed, but when we infuse it with saline, we can visualize inside the cavity and see if it contains any abnormalities," said Dr. Elysia Moschos, associate professor of obstetrics and gynecology at UT Southwestern and the lead author of the study.

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Improved Endometrial Disease Diagnosis Possible With Ultrasound-guided Biopsy

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