Postmenopausal Bleeding and Endometrial Changes: Clinical Significance?
Data(s) |
08/02/2013
08/02/2013
2011
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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 | |
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 |