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Accuracy of Endomyometrial Biopsy in Diagnosis of Adenomyosis

A

Ain Shams University

Status

Completed

Conditions

Adenomyosis

Treatments

Diagnostic Test: hysteroscopic guided endomyometrial biopsy

Study type

Observational

Funder types

Other

Identifiers

NCT05505656
MD 129/ 2022

Details and patient eligibility

About

This study will compare the accuracy of diagnosing adenomyosis by obtaining hysteroscopic guided endomyometrial biopsy and comparing it to accuracy of diagnosis by transvaginal ultrasound and magnetic resonance imaging.

Full description

Preoperative diagnosis of adenomyosis is usually difficult. The use of ultrasound and MRI for preoperative diagnosis is still of low positive predictive values. The majority of cases of adenomyosis are diagnosed postoperatively after justo pathological examination of the hysterectomy specimens.

The introduction of the concept of preoperative diagnosis of adenomyosis through a hysteroscopic endomyometrial biopsies may be a very good method for preoperative diagnosis of this condition. Participants patients who are diagnosed as adenomyosis by Ultrasound and MRI and scheduled for hysterectomy will undergo an endomyometrial biopsy. The accuracy of this method, its sensitivity, specificity, positive and negative predictive values of this method will be compared with the conventional methods for preoperative diagnosis of adenomyosis after final diagnosis by final gusto pathological diagnosis of hysterectomy specimens.

Enrollment

70 patients

Sex

Female

Ages

20 to 50 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • patients diagnosed with abnormal uterine bleeding due to adenomyosis diagnosed by transvaginal ultrasound and mri and scheduled for hysterectomy

Exclusion criteria

  • hysterectomy not performed
  • incomplete ultrasound and mri information

Trial contacts and locations

1

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Central trial contact

Mohamed Laban; Alaa Hassanin

Data sourced from clinicaltrials.gov

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