Case Report
Daniilidis Angelos1, Panteleris Nikolaos1, Stamkopoulou Anthoula1, Carcea Fausto1, Kogeorgos Stylianos2, Besharat Alexander3, Asimakopoulos Efstratios1
12nd University Clinic of Obstetrics and Gynecology, Hippokratio General Hospital, Aristotle University of Thessaloniki, Greece
2Clinic of Obstetrics and Gynecology, General Hospital of Nikaia, Athens, Greece
31st University Clinic of Obstetrics and Gynecology, Alexandra General Hospital, National and Kapodistrian University of Athens, Greece
Correspondence: Panteleris Nikolaos, mob: 6973208642, Fax: 2373061205, E – mail: nikolaospanteleris@gmail.com
Abstract
Introduction: Postmenopausal bleeding (PMB) is defined as bleeding from the genital track one year after the cessation of menses. About 1 in 10 women with postmenopausal bleeding will be diagnosed with malignancy.
Case presentation: A 62 year old female patient who presented to the gynecological clinic with two incidents of vaginal bleeding in the last 60 days. The gynecological examination and the transvaginal ultrasound did not reveal any signs of pathology. An office hysteroscopy and biopsy was performed and the histopathological examination revealed findings consistent with adenocarcinoma of the endometrium. The patient underwent a laparoscopic total hysterectomy and bilateral salpingo – oophorectomy.
Conclusion: This case report highlights the contribution of office hysteroscopy as a diagnostic tool in women with PMB, as it has a higher sensitivity compared to dilatation and curettage as well as to a biopsy acquired with a pipelle.
Keywords: office, hysteroscopy, endometrial, cancer, ca, diagnosis, sensitivity, postmenopausal, vaginal, bleeding
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