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Year : 2000  |  Volume : 5  |  Issue : 2  |  Page : 65-68

Postmenopausal bleeding from a histological perspective

1 Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Nigeria
2 Medical Foundation and Clinics, 8 Nsukka Lane, Uwani -, Enugu

Correspondence Address:
H U Ezegwui
Dept. of Obstetrics and Gynaecology, U.N.T.H, Enugu
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Source of Support: None, Conflict of Interest: None

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Histopathoiogical findings in 170 Ibo women with postmenopausal bleeding were reviewed retrospectively over a 29 yesr period. In descending order, they were atrophic endometrium 21.7%,senile cystic endometrium 11.1%, squamous cell carcinoma of the cervix 11.1%, proliferative endometrium 10% adenocarcinoma of endometrium 9.4%,endocervical polyps 8.2%; endometrial hyperplasia 5.2%, uterine sarcoma 5.2%, secretory endometrium, endometritis, endometrial polyps, pyometria 2.9% each; chronic cervicitis 2.3%, squamous metaplasia 1.1% and others. It is concluded that such women should have both endometrial curettage and cervical smear. Furthermore, a coherent policy of genital cancer screening must be urgently formulated.

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