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Article: Findings in women with postmenopausal bleeding investigated with hysteroscopy

TitleFindings in women with postmenopausal bleeding investigated with hysteroscopy
Authors
Issue Date2001
PublisherInforma Healthcare. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/01443615.asp
Citation
Journal Of Obstetrics And Gynaecology, 2001, v. 21 n. 4, p. 392-395 How to Cite?
AbstractMost reports on histopatological findings of postmenopausal bleeding were published before hysteroscopy was widely used. Recent studies have shown that hysteroscopic examination is better than dilatation and curettage alone in detecting intrauterine pathology. The aim of this study is to assess histopathological findings of patients presented with postmenopausal bleeding after incorporation of hysteroscopic examination. Between 1 January 1996 and 31 December 1996, a total of 199 consecutive patients presenting with postmenopausal bleeding to a regional hospital were reviewed. Patients were investigated with cervical biopsy, endometrial aspiration or hysteroscopy and curettage. Excluding patients who had hysterectomy and cervical cancer, 97% of the patients had hysteroscopic examination. The majority of patients with postmenopausal bleeding had atrophic vaginitis and/or atrophic endometrium (58.8%). Other common diagnoses were endometrial polyp (9.4%), endometrial carcinoma (9.4%) and carcinoma of the cervix (6%). Other diagnoses included submucous fibroid, endometrial hyperplasia, pyometra, ovarian cancer and urethral caruncle. Pathologies found were similar to early reports, except that incidences of submucous fibroids and endometrial polyps were higher (13.4%). We concluded that all patients with postmenopausal bleeding should be investigated thoroughly as 22% have significant pathology. Hysteroscopy is the preferred investigation because of high incidences of endometrial polyps and submucous fibroids.
Persistent Identifierhttp://hdl.handle.net/10722/184202
ISSN
2015 Impact Factor: 0.611
2015 SCImago Journal Rankings: 0.358
References

 

DC FieldValueLanguage
dc.contributor.authorWong, SFen_US
dc.contributor.authorLuk, KLen_US
dc.contributor.authorWong, AYKen_US
dc.contributor.authorTang, LCHen_US
dc.date.accessioned2013-06-25T03:01:14Z-
dc.date.available2013-06-25T03:01:14Z-
dc.date.issued2001en_US
dc.identifier.citationJournal Of Obstetrics And Gynaecology, 2001, v. 21 n. 4, p. 392-395en_US
dc.identifier.issn0144-3615en_US
dc.identifier.urihttp://hdl.handle.net/10722/184202-
dc.description.abstractMost reports on histopatological findings of postmenopausal bleeding were published before hysteroscopy was widely used. Recent studies have shown that hysteroscopic examination is better than dilatation and curettage alone in detecting intrauterine pathology. The aim of this study is to assess histopathological findings of patients presented with postmenopausal bleeding after incorporation of hysteroscopic examination. Between 1 January 1996 and 31 December 1996, a total of 199 consecutive patients presenting with postmenopausal bleeding to a regional hospital were reviewed. Patients were investigated with cervical biopsy, endometrial aspiration or hysteroscopy and curettage. Excluding patients who had hysterectomy and cervical cancer, 97% of the patients had hysteroscopic examination. The majority of patients with postmenopausal bleeding had atrophic vaginitis and/or atrophic endometrium (58.8%). Other common diagnoses were endometrial polyp (9.4%), endometrial carcinoma (9.4%) and carcinoma of the cervix (6%). Other diagnoses included submucous fibroid, endometrial hyperplasia, pyometra, ovarian cancer and urethral caruncle. Pathologies found were similar to early reports, except that incidences of submucous fibroids and endometrial polyps were higher (13.4%). We concluded that all patients with postmenopausal bleeding should be investigated thoroughly as 22% have significant pathology. Hysteroscopy is the preferred investigation because of high incidences of endometrial polyps and submucous fibroids.en_US
dc.languageengen_US
dc.publisherInforma Healthcare. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/01443615.aspen_US
dc.relation.ispartofJournal of Obstetrics and Gynaecologyen_US
dc.titleFindings in women with postmenopausal bleeding investigated with hysteroscopyen_US
dc.typeArticleen_US
dc.identifier.emailTang, LCH: lchtang@hku.hken_US
dc.identifier.authorityTang, LCH=rp01756en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1080/01443610120059978en_US
dc.identifier.scopuseid_2-s2.0-0034903759en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034903759&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume21en_US
dc.identifier.issue4en_US
dc.identifier.spage392en_US
dc.identifier.epage395en_US
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridWong, SF=7404590679en_US
dc.identifier.scopusauthoridLuk, KL=55168148500en_US
dc.identifier.scopusauthoridWong, AYK=7403147449en_US
dc.identifier.scopusauthoridTang, LCH=7402081111en_US

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