Ultrasound and blind endometrial sampling for detection of endometrial cancer in women with postmenopausal bleeding

Selvi Vikram , Jonathan Robinson, Tina Thanawala , John Franklin, Shari Boeckstaens , Marcia Hall , Fatai Adegboyega , Malcolm Padwick , Paul Stanciu

Research output: Contribution to journalArticlepeer-review

Abstract

Abstract
Objectives
This is a protocol for a Cochrane Review (diagnostic). The objectives are as follows:

To assess the diagnostic accuracy of endometrial sampling with histology in the diagnosis of endometrial cancer in women with postmenopausal bleeding and thickened endometrium on ultrasound. Diagnosis will be verified by the reference standards, hysteroscopy with histology, obtained by targeted (such as grasp biopsy of the endometrium or resection of focal pathology) or global sampling (with dilation and curettage), and histology of hysterectomy specimens.

Secondary objectives
To determine the diagnostic accuracy of different sampling devices and methods in the detection of endometrial cancer

To assess the diagnostic accuracy of endometrial sampling devices and methods to detect endometrial hyperplasia

To determine accuracy in diagnosing endometrial cancer and endometrial hyperplasia at different endometrial thicknesses of 3 mm, 4 mm and 5 mm

To investigate sources of heterogeneity
Original languageEnglish
JournalThe Cochrane database of systematic reviews
Publication statusPublished - 20 Jun 2024

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