The role of transvaginal color doppler indices to predict malignancy in abnormal uterine bleeding according to PALM-COEIN classification - 13/11/20

Doi : 10.1016/j.jogoh.2020.101988

Feyza Bayram ^a, Nergis Kender Erturk ^a,⁎ , Erhan Ozhan ^b, Emin Ustunyurt ^a
^a Bursa Yuksek Ihtisas Training and Educational Hospital, Obstetrics and Gynecology Clinic, Bursa, Turkey
^b Bursa Yuksek Ihtisas Training and Educational Hospital, Radyology Clinic, Bursa, Turkey

^⁎Corresponding author at: Bursa Yuksek Ihtisas Training and Educational Hospital, Obstetrics and Gynecology Clinic, 16000, Yildirim, Bursa, TurkeyBursa Yuksek Ihtisas Training and Educational HospitalObstetrics and Gynecology ClinicYildirimBursa16000Turkey

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Abstract

Introduction

The objective of this study is to analyze the differences in transvaginal color Doppler parameters in premenopasual women with abnormal uterine bleeding (AUB) among PALM-COEIN groups.

Materials and Method

This cross-sectional study was performed in a training and educational hospital, included 147 premenopausal women with AUB. Patients were divided into four groups according to PALM-COEIN. All subjects were evaluated by transvaginal Doppler sonography and uterine artery (UA) pulsatility and resistive indexes (PI, RI) were calculated then compared.

Results

Four groups named AUB-P, AUB-E, AUB-M and AUB-O included 39, 30,32 and 46 patients, respectively. The mean age of patients was 44,82 (35 to 55 years), EC rate was 3,4%. UA-PI was lower in the AUB-M group compared with AUB-P and AUB-O (p < 0,001). UA-RI was different among gruops (p < 0,001). UA-RI was lowest in the AUB-M, and highest in the AUB-O (0,60 ± 0,15; 0,85 ± 0,05 respectively). The cut-off values of ET, UA-PI and UA-RI for detecting AUB-M were 13,5, 1,55 and 0,71 respectively.