ABSTRACT
almost ninety percent of post-menopausal females with endometrial cancer report a vaginal bleeding experience. Objectives: To ?nd correlation of radiological and histopathological ?ndings so that early evaluation of malignancy can be done. The Present Study included 50 Patients with abnormal uterine Materials And Methods: bleeding in postmenopausal women, aged between 45-70 years. All patients were subjected to transvaginal ultrasonographic evaluation of the endometrium and the results were correlated to the histopathological picture of the endometrium after curettage in an attempt to discriminate normal endometrium from abnormal pathological patterns. Results And Analysis: Thirteen patients (26%) had pathological ?ndings. There was signi?cant difference in the mean endometrial thickness of non- pathological and abnormal endometrium in postmenopausal patients with P value <0.001**. Among the thirteen patients with pathological ?ndings eight had endometrial hyperplasia, two had polyp and three had malignancies. It may be Conclusions: concluded that vaginal sonographic measurement of endometrial thickness is an acceptable less invasive alternative to hysteroscopy and D & C and needs to be popularized as ?rst line investigation in the management of Postmenopausal bleeding in rural population
ABSTRACT
Los tumores müllerianos mixtos malignos o carcinosarcomas son neoplasias poco frecuentes y altamente agresivas que suelen presentarse en pacientes mayores de 60 años, generalmente en forma de metrorragia posmenopáusica y/o presencia de masas uterinas. Entre los factores de riesgo reconocidos está descrita la historia de irradiación previa del área pélvica. Presentamos 3 casos clínicos de pacientes diagnosticadas y tratadas de tumores müllerianos mixtos uterinos malignos, existiendo en todos ellos el antecedente de neoplasias que habían precisado radioterapia pélvica como parte de su tratamiento.
The malignant Mullerian mixed tumors are rare and highly aggressive, these tumors usually occur in women over 60 years and the most common clinical appearance is that of postmenopausal vaginal bleeding or the presence of uterine mass. As a risk factor is described the history of prior irradiation of the pelvic area. We reported the case of three patients with mullerian mixed tumors, in all these cases the patients have a history of cancer who required pelvic radiation as part of their treatment.