The Histopathologic Findings on Patients of Postmenapousal Bleeding

Istanbul Med J 2005;6(3):1-4

1. SSK İstanbul Eğitim Hastanesi II. Kadın Hastalıkları ve Doğum Kliniği Asistanı

2. İstanbul Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, İstanbul, Türkiye

3. İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Biyoistatistik Anabilim Dalı İstanbul

4. SSK İstanbul Eğitim Hastanesi Dermatoloji ve Patoloji Kliniği İstanbul

5. S.b. İstanbul Eğitim Ve Araştırma Hastanesi Kadın Hast. Ve Doğum Kliniği

6. İstanbul Eğitim Ve Araştırma Hastanesi, Patoloji Kliniği, İstanbul

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ABSTRACT

Objective:

In the women be/ow 6o age, causes of bleeding postmenopausal are benign pathologies. For this raison, recently endometrial echo measurement and aspiration endometrial sampling prefer. In this report, the hystopathologic findings of 118 women postmenopausal bleeding, mean age 54, 65+5, 57 years, were investigated. The rat e of malignancy was determined.

Material-Method and Results:

Foul cureıtage was performed under local anesthesia in the women who had vagınal bleeding and whose endometria/ echo was above 5mm. Gestagen effect in 2I% of cases, endometrial po/yp in 22%, estrogen effect in 8%, atrophic endometrium in 7%, sirnp/e endometrial hyperplasia in 9%, inadequate sanıp/ing in 13.56% of cases were found. 5% of cases were adenocarcinoma and 3% of ones were atypical cystic hyperplasia. As a result, 8% of patı ents had malignancy (included atypical hyperplasia), 92% of one s had benign pathologies. 30.51% of cases were us ing HRT, 69.49 % of cases not.

Conclusion:

Carcinoma was observed in 5, 5 % of cases that were using HRT and in 6 % of cases were not using.

Keywords:

Carcinoma was observed in 5, 5 % of cases that were using HRT and in 6 % of cases were not using