title: Hysteroscopic myomectomy in postmenopausal women.
abstract: OBJECTIVE
  To review the findings in postmenopausal patients undergoing hysteroscopic myomectomy.
  
  
  METHODS
  Retrospective case-controlled study (Canadian Task Force classification II-2).
  
  
  METHODS
  Private practice.
  
  
  METHODS
  Eighteen women with postmenopausal bleeding and two asymptomatic women with abnormal ultrasounds.
  
  
  METHODS
  Hysteroscopic myomectomy in 19 patients, with concomitant destruction of the endometrium in 4 patients, and resectoscopic biopsy in 1 patient.
  
  
  RESULTS
  Three patients underwent subsequent gynecologic surgery. One had hysteroscopy to evaluate and remove an asymptomatic residual myoma found on ultrasound. A sarcoma was found in two of the symptomatic patients. Two patients underwent hysterectomy-one for a sarcoma and the other for a carcinoma of the cervix. One patient has had further postmenopausal bleeding.
  
  
  CONCLUSIONS
  Women who have a submucosal myoma that becomes symptomatic in the menopausal period may be at increased risk for a sarcoma.
authors.affiliation: Department of Obstetrics and Gynecology, University of Arizona, Phoenix, Arizona, USA. loffer3410@aol.com
authors.forename: Franklin D
authors.initials: FD
authors.lastname: Loffer
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D017698:Postmenopause; D012189:Retrospective Studies; D012509:Sarcoma / Q000175:diagnosis; D014594:Uterine Neoplasms / Q000601:surgery*