Diagnostic Value of 3D Transvaginal Ultrasonography in Endometrial Carcinoma among Postmenopausal Women

Introduction: Endometrial carcinoma typically causes postmenopausal women to experience abnormal vaginal bleeding. Women with suspected endometrial pathology were investigated initially with 3D-TVUSG and later with endometrial biopsy. Objectives: To assess the diagnostic value of three-dimensional transvaginal ultrasound (3D-TVUSG) for detecting endometrial carcinoma among postmenopausal women. Methods: A prospective observational study among 61 post-menopausal women was conducted in a tertiary care hospital in North India. All of them underwent 3D-TVUSG and were given provisional diagnosis after that endometrial biopsy was done and final diagnosis was given as per histopathological reports. Results: Mean age of study participants was 59.4+/-4.3. Endometrial carcinoma was detected in about one tenth (8.2%) of participants by 3D-TVUSG while only (6.5%) of participants were diagnosed by histopathology. The histopathological diagnosis was considered the gold standard for detection and accuracy. Sensitivity, specificity, positive and negative predictive value of 3D-TVUSG were 100%, 98.2%, 80% and 100% respectively. Diagnostic accuracy of 3D-TVUSG was 98.3%. Conclusion: Three-dimensional transvaginal ultrasound (3D-TVUSG) has high diagnostic accuracy, sensitivity and specificity for endometrial carcinoma among postmenopausal women. Postmenopausal women should be regularly screened for endometrial carcinoma with the help of 3D-TVUSG.