Wong A W, Leiserowitz G S, McCausland V M, McCausland A M
University of California, Davis Medical Center, Department of Obstetrics and Gynecology, Sacramento 95816, USA.
Obstet Gynecol. 1998 Oct;92(4 Pt 2):671-2. doi: 10.1016/s0029-7844(98)00107-0.
Pyrexia associated with solid and hematogenous neoplasms are a well-recognized clinical condition. Menstrually related (catamenial) fevers have not been reported previously.
A 52-year-old woman with a history of stage I breast cancer on adjuvant tamoxifen citrate presented with recurrent fevers associated with menses. An extensive evaluation of possible causes, including recurrent breast cancer and infectious, collagen-vascular, and drug-related sources, initially was unrevealing. A gynecologic evaluation identified a uterine tumor, which appeared to be a cellular leiomyoma on hysteroscopic biopsy. The catamenial fevers resolved immediately after hysterectomy. A uterine smooth muscle tumor of undetermined malignant potential was identified on pathology.
Smooth muscle tumors of the myometria are a rare cause of menstrual fevers.
