Postmenopausal Bleeding and Endometrial Changes: Clinical Significance?


Autoria(s): Correia, A; Barreto, S; Mahomed, F; Bernardo, MJ
Data(s)

08/02/2013

08/02/2013

2011

Resumo

Introduction: Postmenopausal bleeding is a common complaint from women seen in general practice, although majority of them, will have no major problem. Objective: Study of endometrium in postmenopausal women with suspicious sonographic endometrial changes. Comparison of findings in asymptomatic women and those who reported metrorrhagia. Methods: Consultation of outpatient medical records of 487 women undergoing endometrial study (sonohysterography, hysteroscopy), between January/2004 and July/2010. Patients were subdivided into two groups: women with (G1) and without (G2) complaints of postmenopausal metrorrhagia. Results: G1 and G2 comprises 78 and 409 women, respectively. G1: 23.1% normal uterine cavity, 74.3% benign pathology (majority endometrial polyps) and 2.6% of them endometrial carcinoma. G2: 14.4% normal uterine cavity, 83.7% benign pathology (majority endometrial polyps), 1.4% endometrial hyperplasia and endometrial carcinoma in 0.49%. Conclusion: Postmenopausal metrorrhagia is associated with an increased risk of endometrial malignancy, in relation to asymptomatic, although represents a minority of the population. To highlight the existence of premalignant and malignant pathology in asymptomatic endometrial thickening.

Identificador

http://hdl.handle.net/10400.17/1051

Idioma(s)

eng

Publicador

Departamento de Ginecologia, Hospital Dona Estefânia, Centro Hospitalar de Lisboa Central, EPE

Direitos

openAccess

Palavras-Chave #Pós-Menopausa #Endométrio #Hemorragia #HDE GIN
Tipo

other