Histopathological spectrum of lesions in evaluating the women with postmenopausal bleeding

Abstract

Postmenopausal bleeding occurs in approximately 10% of postmenopausal women. Postmenopausal bleeding requires complete assessment to ensure the absence of malignancy. The aim of the study is to know the causes of postmenopausal bleeding based on Histopathological findings and the percentages of various benign, pre malignant and malignant lesions.This study included 53 cases attending the obstetrics & gynaecology department of TMU&RC, Moradabad western Uttar Pradesh with complaint of post menopausal bleeding over a time period of 2 years from July 2017-june 2019.Among benign cases, the most common cause was atrophic endometrium (39.6%). Among malignant cases, the most common cause was cervical malignancy (28.3%). Out of 53 cases, 26 cases account for premalignant and malignant causes of PMB, carcinoma cervix accounts for 53.7% and carcinoma in situ accounts for 3.8%.The postmenopausal bleeding is an important symptom and require careful and timely assessment to eliminate the possibility of malignancy as soon as possible.