Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
To the Editor: Dr Smith-Bindman and
colleagues1 report the results of a meta-analysis
evaluating the role of endovaginal ultrasound (EVUS) in excluding
endometrial cancer and other endometrial abnormalities. The other
endometrial abnormalities include endometrial polyps and submucous
leiomyomata, both common causes of postmenopausal bleeding. We agree
that using an endometrial thickness threshold of 5 mm results in a high
sensitivity and specificity for endometrial cancer. We believe that
using EVUS alone is not adequate to exclude benign causes of
postmenopausal bleeding and routinely perform hysterosonography in
Bree RL, Benson CB, Bohm-Velez M. Endovaginal Ultrasound to Evaluate Endometrial Abnormalities. JAMA. 1999;281(18):1693. doi:10.1001/jama.281.18.1693
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