RESUMO
Updated French guidelines for clinical practice have been published by the National Cancer Institute in 2010, concerning the diagnosis and the treatment of cervix and endometrial cancers. The diagnosis of cervix cancer, suspected when a cervix tumour is observed in a patient presenting with vaginal bleeding, especially in women with risk factors (previous cervix dysplasia, HIV infection, tobacco use). The diagnosis is confirmed by pathology of cervix biopsy (macroscopic cervix tumour or microscopic lesions detected by screening). The diagnosis of endometrial cancer should be evoked in post-menopausal women presenting with vaginal bleeding, especially in high risk populations (obese, long exposure to estrogens). The diagnosis is based on histologic examination of endometrial biopsy. The assessment of pelvic extension must include clinical examination and pelvic and lombo-aortic MRI imaging.
Assuntos
Neoplasias do Endométrio/diagnóstico , Neoplasias do Colo do Útero/diagnóstico , Biópsia , Colposcopia , Diagnóstico por Imagem , Feminino , Exame Ginecológico , Humanos , HisteroscopiaRESUMO
Menometrorrhagia is a frequent cause of medical consulting. After exclusion of pregnancy, main aetiologies are the uterine (polyp, myoma, adenomyosis, cancer) or adnexial abnormality (ovarian cyst or cancer), the disorders of hemostasis (Willebrand...), the dysfunctional uterine bleeding. A clinical examination is necessary to provide an accurate diagnosis and find complications such as anaemia. Pelvic ultrasound examination and endometrial biopsy are required to eliminate endometrial cancer. The treatment of menometrorrhagia consists of symptomatic treatment (tranexamic acid, levonorgestrel intrauterine device) and specific treatment of its cause (hysteroscopic resection of myom, polyp, endometrectomy, hysterectomy).
