Postmenopausal bleeding : clinicopathological study in babel province between the years 2000-2009

Other Title(s)

النزيف بعد سن اليأس: دراسة سريرية مرضية في محافظة بابل بين السنوات 2000-2009

Joint Authors

al-Hilli, Nadiyah Mazhar Sulayman
al-Tamimi, Ali Hasan

Source

Journal of Babylon University : Journal of Applied and Pure Sciences

Issue

Vol. 18, Issue 5 (31 Dec. 2010), pp.2027-2034, 8 p.

Publisher

University of Babylon

Publication Date

2010-12-31

Country of Publication

Iraq

No. of Pages

8

Main Subjects

Medicine

Topics

Abstract AR

يهدف البحث دراسة النزف بعد سن اليأس من حيث الأسباب المرضية، و عوامل الخطورة، و نسبة الإصابات السرطانية و الآفات الإمراضية النسيجية.

ضمت المجموعة المدروسة 304 حالة إصابة بالنزف بعد سن اليأس.

طريقة الدراسة : أجري فحص سريري و فحص بالأمواج فوق الصوتية لمنطقة الحوض.

و الفحص تحت التخدير بالتوسيع و التجريف و أخذ عينات نسيجية لمعرفة الأسباب المرضية.

تراوحت أعمار المريضات بين 45-67 عاما، بوسطي 49 عاما.

كانت الحالات حميدة لدى 167 من 304 حالة و تضمنت التهاب بطانة الرحم و فرط التنسج لبطانة الرحم، و التهاب عنق الرحم.

وجدت الأمراض الخبيثة لدى 27 من 304 حالة، تضمنت حالات سرطان عنق الرحم، و 15 حالات سرطانية لبطانة الرحم.

استنتجت الدراسة إن النزف بعد سن اليأس عارض هام و يتطلب عناية و سرعة في التقييم لاستبعاد التطورات الخبيثة المحتملة.

Abstract EN

Normal menstruation is defined as bleeding from secretory endometrium associated with an ovulatory cycle not exceeding a length of 5 days.

Any bleeding not fulfilling these criteria is referred to as an abnormal uterine bleeding.

Some of these are the result of an identifiable pathological lesion, such as endometriosis, submucous myoma, endometrial polyp, or cancer, particularly in the postmenopausal patient.

Postmenopausal bleeding is considered an important and alarming symptom both to the patient and to the gynecologist, and is requires as complete evaluation as possible in order to ensure the absence of malignancy and to identify and treat high risk patients such as those with endometerial hyperplasia.

The aim of the present study was to investigate the clinical significance and endometrial pathology in patients with postmenopausal bleeding (PMB) in terms of etiology, risks factors, incidence of malignancy, and histopathological evaluation.

304 cases of PMB admitted to Babylon Teaching Hospital for Gynaecology & Paediatrics from 2000-2009 underwent a detailed history, clinical examination, pelvic ultrasound, and examination under anesthesia (EUA) with dilatation and curettage and endometrial sampling for histopathological examination.

The age range of the patient was from (45 to 77years) with a mean of (49 years).

The Results showed that Benign pathology was found in (167 / 304) cases.

These included senile atrophic endometrium, endometrial hyperplasia, endometritis, endometrial polyps, cervicitis, and cervical polyps.

Malignant pathology was found in (27) cases including (12) cases of cancer of the cervix and (15) cases of adenocarcinoma of the endometrium.

It is concluded that postmenopausal bleeding is an important symptom and requires careful and prompt evaluation to eliminate the possibility of malignancy as quickly as possible

American Psychological Association (APA)

al-Tamimi, Ali Hasan& al-Hilli, Nadiyah Mazhar Sulayman. 2010. Postmenopausal bleeding : clinicopathological study in babel province between the years 2000-2009. Journal of Babylon University : Journal of Applied and Pure Sciences،Vol. 18, no. 5, pp.2027-2034.
https://search.emarefa.net/detail/BIM-287348

Modern Language Association (MLA)

al-Tamimi, Ali Hasan& al-Hilli, Nadiyah Mazhar Sulayman. Postmenopausal bleeding : clinicopathological study in babel province between the years 2000-2009. Journal of Babylon University : Journal of Applied and Pure Sciences Vol. 18, no. 5 (2010 ), pp.2027-2034.
https://search.emarefa.net/detail/BIM-287348

American Medical Association (AMA)

al-Tamimi, Ali Hasan& al-Hilli, Nadiyah Mazhar Sulayman. Postmenopausal bleeding : clinicopathological study in babel province between the years 2000-2009. Journal of Babylon University : Journal of Applied and Pure Sciences. 2010. Vol. 18, no. 5, pp.2027-2034.
https://search.emarefa.net/detail/BIM-287348

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references : p. 2032-2034

Record ID

BIM-287348