Hysteroscopic myomectomy in postmenopausal women.
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.
Loffer
Franklin D
FD
Department of Obstetrics and Gynecology, University of Arizona, Phoenix, Arizona, USA. loffer3410@aol.com
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*