Catamenial fevers associated with a uterine smooth muscle tumor of undetermined malignant potential.
BACKGROUND
Pyrexia associated with solid and hematogenous neoplasms are a well-recognized clinical condition. Menstrually related (catamenial) fevers have not been reported previously.


METHODS
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.


CONCLUSIONS
Smooth muscle tumors of the myometria are a rare cause of menstrual fevers.
University of California, Davis Medical Center, Department of Obstetrics and Gynecology, Sacramento 95816, USA. aqwong@ucdavis.edu
A W
AW
Wong
G S
GS
Leiserowitz
V M
VM
McCausland
A M
AM
McCausland
D005260:Female; D005334:Fever / Q000209:etiology*; D006801:Humans; D007889:Leiomyoma / Q000150:complications* / Q000473:pathology; D008598:Menstruation; D008875:Middle Aged; D014594:Uterine Neoplasms / Q000150:complications* / Q000473:pathology