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Hysteroscopic myomectomy in postmenopausal women
1Department of Obstetrics and Gynecology, University of Arizona, Phoenix, Arizona, USA. loffer3410@aol.com
Study Objective:
To review the findings in postmenopausal patients undergoing hysteroscopic myomectomy.
Design:
Retrospective case-controlled study (Canadian Task Force classification II-2).
Setting:
Private practice.
Patients:
Eighteen women with postmenopausal bleeding and two asymptomatic women with abnormal ultrasounds.
Interventions:
Hysteroscopic myomectomy in 19 patients, with concomitant destruction of the endometrium in 4 patients, and resectoscopic biopsy in 1 patient.
Measurements And Main Results:
Three patients underwent subsequent gynecologic surgery. One had hysteroscopy to evaluate and remove an asymptomatic residual myoma found on ultrasound. A sarcoma was found in two of the symptomatic patients. Two patients underwent hysterectomy-one for a sarcoma and the other for a carcinoma of the cervix. One patient has had further postmenopausal bleeding.
Conclusion:
Women who have a submucosal myoma that becomes symptomatic in the menopausal period may be at increased risk for a sarcoma.
