Postmenopausal genital bleeding

Postmenopausal genital bleeding

Author Albuquerque Neto, Luiz Cavalcanti de Autor UNIFESP Google Scholar
Sartori, Marair Gracio Ferreira Autor UNIFESP Google Scholar
Baracat, Edmund Chada Autor UNIFESP Google Scholar
Girão, Manoel João Batista Castello Autor UNIFESP Google Scholar
Lima, Geraldo Rodrigues de Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract The study was conducted on 748 women who reported genital bleeding occurring at least one year after the last menstruation. Benign causes were most frequent than malignant causes. Among the benign causes, the most frequent were cervicitis (19,95%), prolapsed uterus with decubitus ulcer (19,41%), dysfunctional hemorrhage (13,29%) and endometrial polyps (12,77%). In the group of malignant causes, cancer of the cervix was the neoplasm most often detected (59,26%); endometrial cancer was next, affecting 29,63%. The cancer of the cervix/ cancer of the body ratio was 2:1. In summary, many causes, both benign and malignant, can provoke abnormal postmenopausal bleeding. Thus, curettage of the uterus should be reserved for doubtful cases, i.e., in situations in which, after all non invasive methods of investigations have been exhausted, the possibility of the occurrence of malignant lesions still persist.

MATERIAL E MÉTODOS: Estudaram-se 748 mulheres com queixa de sangramento genital após um ano de menopausa. As causas benignas foram mais freqüentes que as malignas. RESULTADOS: Dentre as causas benignas, as mais freqüentes foram cervicite (19,95%), úlcera em decúbito em útero prolapsado (19,41%), hemorragia disfuncional (13,29%) e polipo endometrial (12,77%). No grupo das causas malignas, o câncer de colo foi a neoplasia mais detectada (59,26%), seguido pelo câncer endometrial (29,63%). A relação câncer do colo/câncer do corpo foi 2:1. CONCLUSÃO: Em resumo, muitas causas, tanto benignas quanta malignas, podem provocar o sangramento genital na pós-menopausa. Desta forma, ficaria a curetagem uterina reservada para os casos duvidosos ou seja, em situações nas quais a possibilidade de lesões malignas ainda persista, após a utilização de métodos diagnósticos não invasivos.
Keywords Menopause
Genital bleeding
Language English
Date 1995-10-01
Published in São Paulo Medical Journal. Associação Paulista de Medicina - APM, v. 113, n. 5, p. 987-991, 1995.
ISSN 1516-3180 (Sherpa/Romeo)
Publisher Associação Paulista de Medicina - APM
Extent 987-991
Origin http://dx.doi.org/10.1590/S1516-31801995000500005
Access rights Open access Open Access
Type Article
SciELO ID S1516-31801995000500005 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/393

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