Abstract
Article: Practical Utility of Color Doppler Sonography in the Evaluation of Endometrial Pathology
Authors: Gabriel J. Runner, MD, Eugenio O. Gerscovich, MD, Alexander Fodor, MD, Shidrokh Shakeri, MD, Hemlata Oswal, MD, John P. McGahan, MD, FACR, Michael T. Corwin, MD, Michael S. Cronan, RDMS
Category: OB/GYN
Credit: 1.0 SDMS CME Credit
Objectives: After studying the article entitled “Practical Utility of Color Doppler Sonography in the Evaluation of Endometrial Pathology,” you will be able to:
Describe sonographic findings used to distinguish benign from malignant disease
Document color and spectral Doppler findings appropriately for endometrial pathology
Differentiate sonographic findings based on the menopausal status of the patient
In postmenopausal women, endometrial cancer can be reliably excluded when the endometrial thickness is less than 2 mm 4 mm 6 mm 8 mm
In women with abnormal vaginal bleeding, the presence of a vascular pedicle shown by color duplex sonography suggests the presence of Endometrial atrophy Endometrial hyperplasia Endometrial carcinoma An endometrial polyp
The most common malignancy of the female reproductive system in the United States is Carcinoma of the body of the uterus Ovarian cancer Vulvar cancer Vaginal cancer
The most common malignancy of the body of the uterus is Cervical cancer Endometrial carcinoma Tumor of the myometrium Uterine sarcoma
With early detection, in the past 20 years, mortality secondary to endometrial cancer has decreased by approximately 10% 15% 20% 25%
The imaging method of choice for the initial evaluation of women with abnormal vaginal bleeding should be Transabdominal sonography with a full bladder, using a curvilinear abdominal probe Transabdominal sonography with an empty bladder, using a curvilinear abdominal probe Transabdominal sonography with a full bladder, using a high-frequency (high-resolution) linear array probe Endovaginal sonography
In postmenopausal patients taking hormone replacement therapy, compared with a standard of 4 mm, a normal endometrial thickness may show No significant change A doubling A tripling An increase to 16 mm
In the study presented by the authors, using a cutoff of 4 mm for endometrial thickness detected what percentage of endometrial malignancies in postmenopausal women? 100% 80% 60% 40%
In the study presented by the authors, using color Doppler imaging to detect blood flow identified what percentage of endometrial malignancies in postmenopausal women? 20% 40% 60% 80%
In women with endometrial polyps, the increased risk of endometrial cancer has been reported to be 100% Significant Minimal Zero
Footnotes