Postmenopaul bleeding histopathological study

Abstract EN

Endometrial histopathologically study of one hundred and fifty cases presented with post-menopausal bleeding to the Gynecological Department in Baghdad Teaching Hospital from the period of Jan., 1991 to December, 1993.

All patients underwent examination under anesthesia, dilatation and fractional curettage. The most frequent histopathologically findings were atrophic endometrium 30.7 percent, followed by proliferative endometrium 26 percent.

Hyperplastic endometrium was detected in 23.3 percent and endometrial polyp in 12 percent.

Endometrial cancer was found in twelve cases (8 percent), eight of them adenocarcinoma 5.3 percent, four cases were uterine sarcoma 2.6 percent. The incidence of malignancy showed a definite rise with advancing age, increasing amount and duration of bleeding, and enlarged uterus.

Endometrial cancer was associated in 41.7 percent of patients with obesity, diabetes mellitus, or hypertension.