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Abnormal uterine bleeding and cancer of the genital tract.

Abstract

All patients in Tasmania admitted to hospital for investigation of abnormal uterine bleeding in 1987 and 1988 were studied. A total of 4,318 patients were investigated. Four of 539 (0.7%) patients with intermenstrual or postcoital bleeding and 31 of 538 (5.8%) patients with postmenopausal bleeding were found to have endometrial cancer. Of the 3,421 patients investigated for 'heavy' periods (menorrhagia) there was no case of endometrial cancer. The detection rate of endometrial cancer on dilatation and curettage before the menopause is extremely low. Patients presenting with menorrhagia should not be treated surgically in the first instance unless an obvious organic cause is present.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    University Department of Obstetrics and Gynaecology, Queen Alexandra Hospital, Hobart, Tasmania.

    ,

    Source

    MeSH

    Adult
    Age Factors
    Aged
    Diagnosis, Differential
    Dilatation and Curettage
    Female
    Humans
    Middle Aged
    Tasmania
    Uterine Hemorrhage
    Uterine Neoplasms

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    2346457

    Citation

    Allen, D G., et al. "Abnormal Uterine Bleeding and Cancer of the Genital Tract." The Australian & New Zealand Journal of Obstetrics & Gynaecology, vol. 30, no. 1, 1990, pp. 81-3.
    Allen DG, Correy JF, Marsden DE. Abnormal uterine bleeding and cancer of the genital tract. Aust N Z J Obstet Gynaecol. 1990;30(1):81-3.
    Allen, D. G., Correy, J. F., & Marsden, D. E. (1990). Abnormal uterine bleeding and cancer of the genital tract. The Australian & New Zealand Journal of Obstetrics & Gynaecology, 30(1), pp. 81-3.
    Allen DG, Correy JF, Marsden DE. Abnormal Uterine Bleeding and Cancer of the Genital Tract. Aust N Z J Obstet Gynaecol. 1990;30(1):81-3. PubMed PMID: 2346457.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Abnormal uterine bleeding and cancer of the genital tract. AU - Allen,D G, AU - Correy,J F, AU - Marsden,D E, PY - 1990/2/1/pubmed PY - 1990/2/1/medline PY - 1990/2/1/entrez SP - 81 EP - 3 JF - The Australian & New Zealand journal of obstetrics & gynaecology JO - Aust N Z J Obstet Gynaecol VL - 30 IS - 1 N2 - All patients in Tasmania admitted to hospital for investigation of abnormal uterine bleeding in 1987 and 1988 were studied. A total of 4,318 patients were investigated. Four of 539 (0.7%) patients with intermenstrual or postcoital bleeding and 31 of 538 (5.8%) patients with postmenopausal bleeding were found to have endometrial cancer. Of the 3,421 patients investigated for 'heavy' periods (menorrhagia) there was no case of endometrial cancer. The detection rate of endometrial cancer on dilatation and curettage before the menopause is extremely low. Patients presenting with menorrhagia should not be treated surgically in the first instance unless an obvious organic cause is present. SN - 0004-8666 UR - https://wwww.unboundmedicine.com/medline/citation/2346457/Abnormal_uterine_bleeding_and_cancer_of_the_genital_tract_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0004-8666&date=1990&volume=30&issue=1&spage=81 DB - PRIME DP - Unbound Medicine ER -