Loffer Franklin D
Department of Obstetrics and Gynecology, University of Arizona, Phoenix, Arizona, USA.
J Minim Invasive Gynecol. 2005 Jul-Aug;12(4):323-5. doi: 10.1016/j.jmig.2005.03.022.
To review the findings in postmenopausal patients undergoing hysteroscopic myomectomy.
Retrospective case-controlled study (Canadian Task Force classification II-2).
Private practice.
Eighteen women with postmenopausal bleeding and two asymptomatic women with abnormal ultrasounds.
Hysteroscopic myomectomy in 19 patients, with concomitant destruction of the endometrium in 4 patients, and resectoscopic biopsy in 1 patient.
Three patients underwent subsequent gynecologic surgery. One had hysteroscopy to evaluate and remove an asymptomatic residual myoma found on ultrasound. A sarcoma was found in two of the symptomatic patients. Two patients underwent hysterectomy-one for a sarcoma and the other for a carcinoma of the cervix. One patient has had further postmenopausal bleeding.
Women who have a submucosal myoma that becomes symptomatic in the menopausal period may be at increased risk for a sarcoma.
