Evaluation of women with postmenopausal bleeding

Objective & Hypothesis:OBJECTIVES: Retrospective evaluation of endometrial and endocervical biopsy hystology and cytology results of 241 postmenopausal women attended to our clinic for vaginal bleeding.STUDY DESING: Endocervical and endometrial biopsy results of 241 patients included in the study were evaluated histopathologically (and cytologic assesment) and compared to literature.RESULTS: In this study, 11.6 % of the postmenopausal women with bleeding had endometrial cancer.

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Key Findings & Data:Atrophic endometriyum was present in 21.9 %, hyperplasia in 7.0 %, polyp in 12.4 % of the biopsies.

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Conclusion & Impact:Endocervical metastatic invasive adenocancer ratio was higher than literature which may be due to late attendance of patiens to hospital.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

OBJECTIVES: Retrospective evaluation of endometrial and endocervical biopsy hystology and cytology results of 241 postmenopausal women attended to our clinic for vaginal bleeding.STUDY DESING: Endocervical and endometrial biopsy results of 241 patients included in the study were evaluated histopathologically (and cytologic assesment) and compared to literature.RESULTS: In this study, 11.6 % of the postmenopausal women with bleeding had endometrial cancer. Atrophic endometriyum was present in 21.9 %, hyperplasia in 7.0 %, polyp in 12.4 % of the biopsies. Four patients (1.6 %) had primary cervical cancer (squamous ca), twelve patients (4.9 %) had metastatic invasive adenocancer.CONCLUSIONS: The most important diagnostic and differantiative method is endometrial together with endocervical biopsy (fractional curettage) in postmenopausal bleeding. Endocervical metastatic invasive adenocancer ratio was higher than literature which may be due to late attendance of patiens to hospital.

Özet

AMAÇ: Kliniğimize postmenapozal kanama ile başvuran 241 hastanın endoservikal ve endometriyal biyopsi histopatoloji ve sitoloji sonuçlarının retrospektif değerlendirilmesi amaçlandı.MATERYAL ve METOD: Çalışmaya dahil edilen 241 hastanın, endoservikal ve endometriyal fraksiyone kürtaj biyopsi sonuçları ve servikal sitoloji sonuçları histopatolojik olarak değerlendirildi ve literatürle karşılaştırıldı.BULGULAR: Postmenapozal kanamaların % 11.6'sında endometriyal kanser bulundu. Biyopsilerin % 21.9'unda atrofik endometriyum, % 7.0'inde hiperplazi, % 12.4'ünde endometriyal polip mevcuttu. Dört olguda (% 1.6) primer serviks kanseri (squamus hücreli), 12 olguda (% 4.9) metastatik invaziv adenokanser tespit edildi.SONUÇ: Postmenopozal kanamada endoservikal ve endometriyal biyopsi (fraksiyone kürtaj) en önemli tanı yöntemidir. Endoservikal metastatik invaziv adenokanser oranı literatürden yüksekti, bu sonuç hastalarımızın geç başvurmasına bağlanabilir.

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Cite This Article

KESİM, D. M., ATIŞ, A., SERMET, H., DEMİRKAYA, Ö. B., AYDIN, Y. (2022). Evaluation of women with postmenopausal bleeding. Jinekoloji ve Obstetrik Derg., Cilt: 19 - Sayı: 4, 210–214. https://ajindex.com/articles/559024

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