title: Pyometra in elderly post-menopausal women: a sign of malignity.
abstract: OBJECTIVE
  To describe the clinical and histopathological characteristics of 12 patients with pyometra and highlight the increased incidence of gynecological malignancy in these patients.
  
  
  METHODS
  The authors examined the medical records of 12 patients with pyometra, who were treated between 2009 and 2013.
  
  
  RESULTS
  All patients were post-menopausal, and their mean age was 70.83 ± 6.978 years (min = 61, max = 82). To remove purulent fluid via dilation and because of the probability of malignancy, three patients (25%) underwent cervical biopsy and endometrial curettage; the other nine patients (75%) underwent curettage alone, with suitable antibiotic therapy. Of the 12 patients, nine (75%) had gynecologic malignancy [(endometrial cancer, n = 5, 41.6%), (cervical cancer, n = 3, 25%), (uterine leiomyosarcoma, n = 1, 8.3%)]. In three (25%) patients, the cause of pyometra was benign pathologies, among which the most common were leiomyomas (n = 2, 66.6%).
  
  
  CONCLUSIONS
  Pyometra diagnosed during the post-menopausal period should be considered a complication caused by gynecological malignancy until proven otherwise.
authors: O S
authors: OS
authors: Kerimoglu
authors: A
authors: A
authors: Pekin
authors: S A
authors: SA
authors: Yilmaz
authors: B B Gençoğlu
authors: BB
authors: Bakbak
authors: C
authors: C
authors: Celik
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D002584:Cervix Uteri / Q000473:pathology*; D004107:Dilatation and Curettage; D016889:Endometrial Neoplasms / Q000150:complications*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications*; D007890:Leiomyosarcoma / Q000150:complications*; D008875:Middle Aged; D017698:Postmenopause; D055112:Pyometra / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D002583:Uterine Cervical Neoplasms / Q000150:complications* / Q000473:pathology*
chemical_list: D000900:Anti-Bacterial Agents