Youssef Atef, Ben Aissia Nizar, Gara Mohamed Faouzi
Hôpital Mongi Slim--La Marsa.
Tunis Med. 2005 Aug;83(8):453-6.
Postmenopausal uterine bleeding is frequent in gynecology. This symptom can reveal benign causes as well as cancers. So it's essential to rule out organic pathology.
We propose a retrospective study of 65 postmenopausal women who had uterine bleeding for two years.
In 65 cases of postmenopausal bleeding, we found: - 6 cases of cancer (9.2 %): 4 cases of cancer of uterine corpus and 2 cases of cancer of uterine cervix. - Benign pathology was more frequent (59 cases : 90.8%), essentially represented by endometrial atrophy (37 cases) and hyperplasia (11 cases). - Hysteroscopic aspect in the 4 cases of endometrial cancer: - Polypoid hypertrophy: 2 cases. - Simple hyperplasia: 2 cases.
Despite the fact that benign pathology is more frequent than malignancy as a cause postmenopausal uterine bleeding, we must always rule out a cancer by oriented biopsy.
绝经后子宫出血在妇科较为常见。这种症状可能提示良性病因以及癌症。因此，排除器质性病变至关重要。
我们对65例绝经后子宫出血两年的女性进行了一项回顾性研究。
在65例绝经后出血病例中，我们发现：- 6例癌症（9.2%）：4例子宫体癌和2例子宫颈癌。- 良性病变更为常见（59例：90.8%），主要表现为子宫内膜萎缩（37例）和增生（11例）。- 4例子宫内膜癌的宫腔镜表现：- 息肉样肥大：2例。- 单纯增生：2例。
尽管作为绝经后子宫出血的病因，良性病变比恶性病变更为常见，但我们必须始终通过定向活检排除癌症。
