[Postmenopausal uterine bleeding. Analytic study about 65 cases].
Postmenopausal uterine bleeding is frequent in gynecology. This symptom can reveal benign causes as well as cancers. So it's essential to rule out organic pathology.


METHODS
We propose a retrospective study of 65 postmenopausal women who had uterine bleeding for two years.


OBJECTIVE
- To study the relative frequency of different causes of postmenopausal uterine bleeding. - To evaluate the different investigation procedures.


RESULTS
In 65 cases of postmenopausal bleeding, we found: - 6 cases of cancer (9.2 %): 4 cases of cancer of uterine corpus and 2 cases of cancer of uterine cervix. - Benign pathology was more frequent (59 cases : 90.8%), essentially represented by endometrial atrophy (37 cases) and hyperplasia (11 cases). - Hysteroscopic aspect in the 4 cases of endometrial cancer: - Polypoid hypertrophy: 2 cases. - Simple hyperplasia: 2 cases.


CONCLUSIONS
Despite the fact that benign pathology is more frequent than malignancy as a cause postmenopausal uterine bleeding, we must always rule out a cancer by oriented biopsy.
Youssef
Atef
A
Hôpital Mongi Slim--La Marsa.
Ben Aissia
Nizar
N
Gara
Mohamed Faouzi
MF
D000368:Aged; D001284:Atrophy; D004717:Endometrium / Q000473:pathology; D005260:Female; D006801:Humans; D006965:Hyperplasia; D015907:Hysteroscopy; D008796:Metrorrhagia / Q000209:etiology; D008875:Middle Aged; D017698:Postmenopause; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000150:complications; D014592:Uterine Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D014594:Uterine Neoplasms / Q000150:complications