Commentary
Manas Dubey
Abstract
Postmenopausal vaginal bleeding has a sign that should not be Ultrasound imaging has become an effective diagnostic tool of gynecological practice throughout the years. Endometrial diagnosis typically involves invasive investigational approaches. Today, however, with the advent of high-resolution transvaginal ultrasound and Doppler ultrasonography (non-invasive diagnostic tool), has an alternative candidate to replace invasive approaches. But in order to obtain an efficient ultrasound report there has must be unified the terms to define ultrasound diagnosis uterine pathology, and to develop the prediction and diagnosis of endometrial pathology. This problem has solved by The International Endometrial Tumor Analysis (IETA) group. There has no absolute diagnostic agreement on the presence of carcinoma, several research including patient characteristics and sonographic characteristics have been conducted to develop a model for endometrial cancer then estimate it has probability and clinical effectiveness, but these models have still not externally validated. The aim of this study has to evaluate the contribution of the terms and definitions described by the IETA group when designing a malignancy model for better diagnosis of malignancy in cases with postmenopausal uterine bleeding. In the present study 120 patients with postmenopausal bleeding have included in the study. The study has conducted from April 2017 to April 2019 at Pune University Pharmacy College, Pharmacology and Pharmaceutical Chemistry departments.Both patients have subjected to the following: full history taking, general examination, local examination, 2D transvaginal ultrasonography, Doppler study, hysteroscopy examination, endometrial biopsy. Symptomatic postmenopausal women with endometrial thickness > 5 mm have been chosen because women with a lower endometrial thickness have a very low incidence of cancer and a prospective evaluation.