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Pathological pattern of endometrial abnormalities in postmenopausal women with bleeding or thickened endometrium
BACKGROUND: Postmenopausal bleeding and an endometrial thickness ≥ 5 mm on sonograms of menopausal women can indicate the presence of endometrial lesions. Diagnostic hysteroscopy is a powerful method for endometrial diseases. AIM: To investigate the pathological pattern of endometrial abnormalities...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8895164/ https://www.ncbi.nlm.nih.gov/pubmed/35321190 http://dx.doi.org/10.12998/wjcc.v10.i7.2159 |
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author | Xue, Hui Shen, Wen-Jing Zhang, Yi |
author_facet | Xue, Hui Shen, Wen-Jing Zhang, Yi |
author_sort | Xue, Hui |
collection | PubMed |
description | BACKGROUND: Postmenopausal bleeding and an endometrial thickness ≥ 5 mm on sonograms of menopausal women can indicate the presence of endometrial lesions. Diagnostic hysteroscopy is a powerful method for endometrial diseases. AIM: To investigate the pathological pattern of endometrial abnormalities in postmenopausal women with bleeding or asymptomatic thickened endometrium diagnosed by hysteroscopy. METHODS: A total of 187 postmenopausal women with bleeding or asymptomatic thickened endometrium underwent diagnostic hysteroscopy. The women were subsequently divided into three groups: Postmenopausal bleeding (PMB) group (n = 84), asymptomatic group (n = 94), and additional group (n = 9). Women in the additional group manifested abdominal pain and leukorrhagia. RESULTS: Among the 187 patients examined, 84 (44.9%) were diagnosed with PMB and 94 (50.3%) with asymptomatic thickened endometrium. Endometrial polyp was the most common endometrial abnormality, which was detected in 51.2%, 76.6% and 77.8% of the PMB, asymptomatic, and additional groups, respectively. In the PMB group, 7 (8.3%) women had hyperplasia with atypia and 14 (16.7%) had endometrial adenocarcinoma. Fewer malignant lesions were detected in the asymptomatic group. Endometrial hyperplasia without atypia was found in 8.3% of the PMB group and 7.4% of the asymptomatic group. CONCLUSION: Endometrial polyp was the most common pathology in the PMB group. Diagnostic hysteroscopy is recommended for women with PMB and asymptomatic thickened endometrium. |
format | Online Article Text |
id | pubmed-8895164 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-88951642022-03-22 Pathological pattern of endometrial abnormalities in postmenopausal women with bleeding or thickened endometrium Xue, Hui Shen, Wen-Jing Zhang, Yi World J Clin Cases Observational Study BACKGROUND: Postmenopausal bleeding and an endometrial thickness ≥ 5 mm on sonograms of menopausal women can indicate the presence of endometrial lesions. Diagnostic hysteroscopy is a powerful method for endometrial diseases. AIM: To investigate the pathological pattern of endometrial abnormalities in postmenopausal women with bleeding or asymptomatic thickened endometrium diagnosed by hysteroscopy. METHODS: A total of 187 postmenopausal women with bleeding or asymptomatic thickened endometrium underwent diagnostic hysteroscopy. The women were subsequently divided into three groups: Postmenopausal bleeding (PMB) group (n = 84), asymptomatic group (n = 94), and additional group (n = 9). Women in the additional group manifested abdominal pain and leukorrhagia. RESULTS: Among the 187 patients examined, 84 (44.9%) were diagnosed with PMB and 94 (50.3%) with asymptomatic thickened endometrium. Endometrial polyp was the most common endometrial abnormality, which was detected in 51.2%, 76.6% and 77.8% of the PMB, asymptomatic, and additional groups, respectively. In the PMB group, 7 (8.3%) women had hyperplasia with atypia and 14 (16.7%) had endometrial adenocarcinoma. Fewer malignant lesions were detected in the asymptomatic group. Endometrial hyperplasia without atypia was found in 8.3% of the PMB group and 7.4% of the asymptomatic group. CONCLUSION: Endometrial polyp was the most common pathology in the PMB group. Diagnostic hysteroscopy is recommended for women with PMB and asymptomatic thickened endometrium. Baishideng Publishing Group Inc 2022-03-06 2022-03-06 /pmc/articles/PMC8895164/ /pubmed/35321190 http://dx.doi.org/10.12998/wjcc.v10.i7.2159 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
spellingShingle | Observational Study Xue, Hui Shen, Wen-Jing Zhang, Yi Pathological pattern of endometrial abnormalities in postmenopausal women with bleeding or thickened endometrium |
title | Pathological pattern of endometrial abnormalities in postmenopausal women with bleeding or thickened endometrium |
title_full | Pathological pattern of endometrial abnormalities in postmenopausal women with bleeding or thickened endometrium |
title_fullStr | Pathological pattern of endometrial abnormalities in postmenopausal women with bleeding or thickened endometrium |
title_full_unstemmed | Pathological pattern of endometrial abnormalities in postmenopausal women with bleeding or thickened endometrium |
title_short | Pathological pattern of endometrial abnormalities in postmenopausal women with bleeding or thickened endometrium |
title_sort | pathological pattern of endometrial abnormalities in postmenopausal women with bleeding or thickened endometrium |
topic | Observational Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8895164/ https://www.ncbi.nlm.nih.gov/pubmed/35321190 http://dx.doi.org/10.12998/wjcc.v10.i7.2159 |
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