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Bleeding from Gynecologic Malignancies.

Megan L Hutchcraft¹, Rachel W Miller¹

¹Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Kentucky Markey Cancer Center, 800 Rose Street, Lexington, KY 40536, USA.

Obstetrics and Gynecology Clinics of North America

|September 19, 2022

Summary

Vaginal bleeding in gynecologic cancers requires prompt assessment, including disease site identification and patient goals. Management involves specialized care teams and site-specific treatments for optimal outcomes.

Keywords:

Gynecologic malignancy Gynecologic oncology emergencies Vaginal bleeding Vaginal hemorrhage

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Area of Science:

Gynecologic Oncology
Malignancy Management

Background:

Vaginal bleeding is a critical symptom in gynecologic malignancies.
Initial management requires a comprehensive approach.

Purpose of the Study:

To outline the initial assessment and management strategies for vaginal bleeding in gynecologic malignancies.
To highlight disease-specific treatment modalities and necessary healthcare services.

Main Methods:

Thorough patient history and physical examination.
Identification of disease site and extent.
Assessment of patient goals of care.

Main Results:

Treatment is specific to the cancer site (e.g., cervical, uterine, gestational trophoblastic disease).
Hemodynamically unstable patients may need critical care.
Alternative treatments include vascular embolization and hemostatic agents.

Conclusions:

Patients with bleeding gynecologic malignancies require inpatient management.
Care should be provided in facilities with specialized gynecologic oncology, radiation oncology, and critical care services.