[The diagnosis of corpus carcinoma (Differentialdiagnostic importance of history- and clinical criteria in post-menopausal hemorrhage) (author's transl)].
Among 1554 patients with post-memopausal hemorrhage over 7 years one half were due to benign causes, the other in almost equal parts to carcinoma of the fundus or cervix. Ca of the fundus is more likely when post-menopausal bleeding occurs at a relatively old age, a late menopause and a long interval between menopause and post-menopausal bleeding. Nulliparae more often have Ca of the corpus than in the cervix or have benign changes. The trias known for the corpus Ca: adiposity, diabetes and hypertension is confirmed. An enlargement or softening of the uterus and myomatous changes also indicate Ca. Anatomical and clinical criteria permit not only a detailed assessment of post-menopausal bleeding but also a definition of cases at risk before bleeding occurs and give an indication for detailed investigations.
D000367:Age Factors; D000368:Aged; D048909:Diabetes Complications; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D007889:Leiomyoma / Q000150:complications; D008593:Menopause; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D013997:Time Factors; D002583:Uterine Cervical Neoplasms / Q000150:complications; D014592:Uterine Hemorrhage / Q000175:diagnosis* / Q000209:etiology; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis*
Zur Diagnose des Korpuskarzinoms (Differentialdiagnostische Bedeutung anamnestischer und klinischer Kriterien bei der Postmenopausenblutung)