Pathological pattern of endometrial abnormalities in postmenopausal women with bleeding or thickened endometrium  

作　　者：Hui Xue Wen-Jing Shen Yi Zhang 

机构地区：[1]Department of Gynecology,The First Affiliated Hospital of China Medical University,Shenyang 110001,Liaoning Province,China

出　　处：《World Journal of Clinical Cases》2022年第7期2159-2165,共7页世界临床病例杂志

基　　金：Supported by Key Research and Development Project in Department of Science and Technology,Liaoning Province,No.2017225025

摘　　要：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.

关 键 词：ENDOMETRIUM POLYPS POSTMENOPAUSE HYSTEROSCOPY Adenocarcinoma 

分 类 号：R711.74[医药卫生—妇产科学]