Postmenopausal bleeding from a histological perspective

Abstract

Histopathoiogical findings in 170 Ibo women with postmenopausal bleeding were reviewed retrospectively over a 29 yesr period. In descending order, they were atrophic endometrium 21.7%,senile cystic endometrium 11.1%, squamous cell carcinoma of the cervix 11.1%, proliferative endometrium 10% adenocarcinoma of endometrium 9.4%,endocervical polyps 8.2%; endometrial hyperplasia 5.2%, uterine sarcoma 5.2%, secretory endometrium, endometritis, endometrial polyps, pyometria 2.9% each; chronic cervicitis 2.3%, squamous metaplasia 1.1% and others. It is concluded that such women should have both endometrial curettage and cervical smear. Furthermore, a coherent policy of genital cancer screening must be urgently formulated.

Keywords

• post menopausal bleeding
• ibo women
• curettage
• cancer screening