Histopathological findings in women with postmenopausal bleeding in Jamaica.
West Indian Med J
; 51(4): 232-5, 2002 Dec.
Article
en En
| MEDLINE
| ID: mdl-12632639
ABSTRACT
We investigated the histopathological findings in women presenting with postmenopausal bleeding in a population predominantly of African descent by conducting a six-year retrospective study of 716 gynaecological surgical specimens from 629 women accessed in the Department of Pathology, The University of the West Indies, Jamaica. Histopathological diagnoses were correlated with patients age, specimen volume, duration of bleeding and length of postmenopausal interval at presentation using t-tests and linear regression models. The mean (SD) age was 63.6 (9.3) years. The frequency of the main causes of postmenopausal bleeding was endometrial hyperplasia (22.3%); endometrial atrophy (21.3%); non-diagnostic (19.9%); endometrial carcinoma (9.5%); cervical carcinoma (6.8%); cervical polyps (4.5%); endometrial sarcoma (3.5%); proliferative endometrium (3.2%). Mean (SD) duration of bleeding was 6.9 (12.7) months. The percentage of women with malignant lesions was two to three times greater than those reported in the United States of America and Europe subsequent to 1980. The delay between the onset of bleeding and presentation is worrisome and suggests the need for public education.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Hemorragia Uterina
/
Posmenopausia
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Middle aged
País/Región como asunto:
Caribe ingles
/
Jamaica
Idioma:
En
Revista:
West Indian Med J
Año:
2002
Tipo del documento:
Article